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LUIS G. MIRANDA M.D. P.C. NPI 1568746014


NPI Information

NPI: 1568746014
Provider Name: LUIS G. MIRANDA, M.D., P.C.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
11 RALPH PL
SUITE 202
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 448-1555
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LUIS G. MIRANDA, M.D., P.C. is an urology in Staten Island, NY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. LUIS G. MIRANDA, M.D., P.C. NPI is 1568746014. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 RALPH PL
SUITE 202
STATEN ISLAND, NY
ZIP 10304-401
Phone: (718) 448-1555
Fax: (718) 448-3950

The provider's authorized official is Luis G. Miranda .
The authorized official title is President and has the following contact phone number (718) 448-1555.

The enumeration date for this NPI number is 10/3/2011 and was last updated on 10/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D39081MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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