Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
JOHNNY MIRANDA
Active
Individual
JOHNNY MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
COMMONWEALTH CARE ALLIANCE
MA
01
—
1022610
NHP
MA
01
—
12529
HEALTH NEW ENGLAND
MA
01
—
1307576
MBHP
MA
05
—
1307576
—
MA
01
—
71756
TUFTS
MA
01
—
8443
BMC
MA
01
—
997203
NETWORK HEALTH
MA
01
—
Y10086
MEDICARE
MA
Enumeration date
11/06/2013
Last updated
11/06/2013
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