Individual
DR. EDDY A MIESES ARIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
11734
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060154
BASUR
—
01
—
220174
UTE
—
01
—
2346
PREFERRED MEDICARE CHOICE
—
01
—
601591
MEDICARE MMM
—
01
—
88493MI
TRIPLE S
—
01
—
9590091
UMANA
—
Enumeration date
09/13/2005
Last updated
08/26/2019
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