Dalia Janette Miranda, is a
Student In An Organized Health Care Education/training Program based in Summerville, South Carolina. Dalia Janette Miranda is licensed to practice in * (Not Available) (license number ) and her current practice location is
5030 Park Haven Ln, Summerville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(805) 915-8521.
NPI number for Dalia Janette Miranda is 1225912868 and her current mailing address is 5030 Park Haven Ln, Summerville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225912868.
Provider's Profile
| Full Name | Dalia Janette Miranda |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 5030 Park Haven Ln, Summerville, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225912868
- Provider Enumeration Date: 08/05/2025
- Last Update Date: 08/05/2025
Medical Identifiers
Medical identifiers for Dalia Janette Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225912868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dalia Janette Miranda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dalia Janette Miranda,
5030 Park Haven Ln,
Summerville, SC 29485-9325
Ph: (805) 915-8521 | Dalia Janette Miranda,
5030 Park Haven Ln,
Summerville, SC 29485-9325
Ph: (805) 915-8521 |
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