Individual
RAFAEL ANGEL MIRANDA
Active
Individual
RAFAEL ANGEL MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200600373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143U9
BCBS
NC
01
—
192202
MEDCOST
—
05
—
5905104
—
NC
01
—
7139831
AETNA
—
01
—
P00367203
RAILROAD MEDICARE
—
Enumeration date
06/30/2006
Last updated
01/19/2017
Update your record
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