LUIS G. MIRANDA, M.D., P.C. (NPI# 1568746014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568746014 |
| Entity Type | Organization |
| Organization Name | LUIS G. MIRANDA, M.D., P.C. |
| Practice Address |
11 Ralph Pl Suite 202 Staten Island NY 10304-4401 |
| Practice Telephone | 7184481555 |
| Practice Fax Number | 7184483950 |
| Mailing Telephone | 7184481555 |
| Mailing Fax Number | 7184483950 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | DR. LUIS G. MIRANDA (PRESIDENT) |
| Authorized Official Telephone | 7184481555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
11 RALPH PL SUITE 202 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320638 | Hsien Kwang Liu | Specialist | 11 Ralph Pl, Suite 302, Staten Island, NY 10304-4419 | 2005-07-18 |
| 1265990097 | Natalia Maximovsky | Nurse Practitioner | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2019-03-11 |
| 1376095992 | Ralph Place Optical LLC | Ophthalmology | 11 Ralph Pl, Suite 101, Staten Island, NY 10304-4401 | 2016-10-31 |
| 1477926384 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 11 Ralph Pl, Suite 109, Staten Island, NY 10304-4401 | 2015-11-02 |
| 1376964452 | Juliana Tacardon | Registered Nurse | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2013-12-17 |
| 1487990941 | Renata Zink | Nurse Practitioner | 11 Ralph Pl, Suite 214, Staten Island, NY 10304-4401 | 2013-01-02 |
| 1275818668 | Sima Raguthu Md Pllc | Psychiatry & Neurology | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2011-10-17 |
| 1396025920 | R Reddi Muttana Md PC | Ophthalmology | 11 Ralph Pl, Suite 317a, Staten Island, NY 10304-4401 | 2011-08-26 |
| 1720366453 | Advanced Allergy & Asthma Family Care Pllc | Allergy & Immunology | 11 Ralph Pl, Suite 305, Staten Island, NY 10304-4401 | 2011-07-29 |
| 1205127669 | Targee Street Internal Medicine Group | Family Medicine | 11 Ralph Pl, Suite 317b, Staten Island, NY 10304-4401 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558620369 | Daniel Sagalovich | Urology | 900 South Ave Ste 103, Staten Island, NY 10314-3428 | 2012-05-14 |
| 1336312909 | David Stanley Friedman | Urology | 2 President St, Staten Island, NY 10314-4120 | 2008-04-03 |
| 1104808997 | Jeffrey Allan Lessing | Urology | 78 Todt Hill Rd, Staten Island, NY 10314-4528 | 2005-11-16 |
| 1205829892 | Michael Anthony Savino | Urology | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2005-08-29 |
| 1144221474 | Adley Raboy | Urology | 1460 Victory Blvd, Staten Island, NY 10301-3914 | 2005-08-09 |
| 1891942157 | Todt Hill Urologic Group, P.c | Urology | 78 Todt Hill Rd, Suite 112, Staten Island, NY 10314-4528 | 2008-08-19 |
| 1457576787 | Staten Island Urological Associates | Urology | 1460 Victory Blvd, Staten Island, NY 10301 | 2007-04-13 |
| 1679697312 | Mark Horowitz Md Pediatric Urology Pllc | Urology | 256 Mason Ave, Staten Island, NY 10305 | 2007-03-19 |
| 1457417297 | Nicholas Theodore Karanikolas | Urology | 900 South Ave, Staten Island, NY 10314-3418 | 2006-12-28 |
| 1598858748 | Ronald Scott Krantz | Urology | 78 Todt Hill Rd, Staten Island, NY 10314-4528 | 2006-10-02 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.