FEDERICO CARLOS DE MIRANDA M.D. NPI 1831152495

NPI Information

NPI: 1831152495
Provider Name: FEDERICO CARLOS DE MIRANDA, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
7303 ROGERS AVE
SUITE 200
FORT SMITH, AR
ZIP 72903
Phone: (479) 314-4810
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Federico Carlos De Miranda, M.D. is a pediatrics in Fort Smith, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Federico Carlos De Miranda, M.D. NPI is 1831152495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7303 ROGERS AVE
SUITE 200
FORT SMITH, AR
ZIP 72903-165
Phone: (479) 314-4810
Fax: (479) 314-2075

The enumeration date for this NPI number is 4/6/2006 and was last updated on 2/13/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		C-5393	ARKANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F31893	OTHER	ARKANSAS	BCBS CORP #
2	5-1332	OTHER	ARKANSAS	BCBS IND. #
3	F 31893	MEDICARE UPIN
4	105837001	MEDICAID	ARKANSAS
5	150597002	MEDICAID	ARKANSAS

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: 4/28/2024

NPI Synchronization or Removal

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