| Ubaldo A Miranda Md Pa | |
|
14271 Sw 42nd St Miami FL 33175-6408 | |
| (786) 431-1180 | |
| (407) 264-6011 |
| Full Name | Ubaldo A Miranda Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 14271 Sw 42nd St, Miami, Florida |
| Authorized Official Name and Position | Ubaldo A Miranda (PRESIDENT) |
| Authorized Official Contact | 7862413749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ubaldo A Miranda Md Pa 3218 Hillsdale Ln Kissimmee FL 34741-7562 Ph: (407) 350-3525 | Ubaldo A Miranda Md Pa 14271 Sw 42nd St Miami FL 33175-6408 Ph: (786) 431-1180 |
| NPI Number | 1750966149 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 5799150348 |
|---|---|
| Medicare Enrollment ID | O20230412001918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750966149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ubaldo A Miranda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366916231 PECOS PAC ID: 4183817919 Enrollment ID: I20201013002334 |
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