Individual
ALTAGRACIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 5TH ST STE 200, MIAMI BEACH, FL 33139-6510
(305) 305-0310
Mailing address
1000 5TH ST STE 200, MIAMI BEACH, FL 33139-6510
(305) 305-0310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME87277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267920500
—
FL
01
—
29238
BCBS
FL
Enumeration date
01/11/2006
Last updated
06/12/2013
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