| Miranda Medical Services LLC | |
|
Carr. 102 Km. 36.0 Bo. Minillas Suite #1 San German PR 00683 | |
| (787) 978-7225 | |
| (787) 680-0814 |
| Full Name | Miranda Medical Services LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | Carr. 102 Km. 36.0 Bo. Minillas, San German, Puerto Rico |
| Authorized Official Name and Position | Jorge Miranda (PRESIDENT) |
| Authorized Official Contact | 7879496592 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Medical Services LLC Po Box 1675 San German PR 00683-1675 Ph: (787) 978-7225 | Miranda Medical Services LLC Carr. 102 Km. 36.0 Bo. Minillas Suite #1 San German PR 00683 Ph: (787) 978-7225 |
| NPI Number | 1831890573 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 08/26/2026 |
| Certification Date | 08/26/2026 |
| Medicare PECOS PAC ID | 1153786025 |
|---|---|
| Medicare Enrollment ID | O20230427002078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831890573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Jorge Miranda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407156748 PECOS PAC ID: 3577744804 Enrollment ID: I20110221000259 |
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