Individual
CARLOS GUSTAVO TERAN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35. 099330
OH
208000000X
Pediatrics Physician
Primary
A119549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A119549
CA MEDICAL LICENSE
CA
Enumeration date
07/26/2012
Last updated
03/06/2013
Update your record
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 at https://nppes.cms.hhs.gov.
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