Fred-Miranda, Iliana
Fred-Miranda, Iliana is an individual health care provider with primary practice located at 4458 Medical Dr Ste 205 , San Antonio TX 78229-3748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Fred-Miranda, Iliana can be contacted via phone (210) 614-1515.Contact Information
Primary practice address
4458 Medical Dr Ste 205
San Antonio TX 78229-3748
Phone: (210) 614-1515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | J8538 | Texas |
Profile Details
| NPI number | 1851366785 |
|---|---|
| LBN Legal business name | Fred-Miranda, Iliana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jan 3rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851366785 | NPPES |
| Texas | MEDICAID | 146266501 |
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