Organization
LUIS G. MIRANDA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS G. MIRANDA (PRESIDENT)
(718) 448-1555
Entity
Organization
Contact information
Practice address
11 RALPH PL, SUITE 202, STATEN ISLAND, NY 10304-4401
(718) 448-1555
(718) 448-3950
Mailing address
11 RALPH PL, SUITE 202, STATEN ISLAND, NY 10304-4401
(718) 448-1555
(718) 448-3950
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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