JOSE ANTONIO MIRO CEBALLOS M.D. NPI 1720203813

NPI Information

  • NPI: 1720203813
  • Provider Name: JOSE ANTONIO MIRO CEBALLOS, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1003 CALLE ACAPULCO
    SAN JUAN, PR
    ZIP 00920
  • Phone: (787) 749-0849

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NPI Details

Jose Antonio Miro Ceballos, M.D. is a general practice in San Juan, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Jose Antonio Miro Ceballos, M.D. NPI is 1720203813. 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:

1003 CALLE ACAPULCO
SAN JUAN, PR
ZIP 00920-054
Phone: (787) 749-0849
Fax: (787) 749-9623

The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/9/2007.

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
1208D00000XGeneral Practice6979PUERTO RICOYes

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
129600MEDICARE ID-TYPE UNSPECIFIEDPUERTO RICOMEDICARE NUMBER
229600MIOTHERPUERTO RICOSSS PROVIDER NUMBER
3C82653MEDICARE UPINPUERTO RICO

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: 11/21/2025

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