| Doctor Name: | MR. ELIONEXIS MIRANDA |
| NPI Number: | 1992937668 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EMT-P |
| License Number: | EMT-P 2018 |
| Business Practice Address: | 414 Km 2.8 Rio Grande Rincon Rincon, PR - 00677 |
| Business Phone Number: | 8179335582 |
| Business Fax Number: | |
| Mailing Address: | Rio Grande Rincon, Hc 02 Box 23330 SAN SEBASTIAN |
| State: | PUERTO RICO |
| Postal Code: | 00685 |
| Phone Number: | 7879335582 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2009 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146L00000X |
| License Number: | EMT-P 2018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Paramedic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |