Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD458354 | PA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 60987 | CO |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 60987 | CO |
NPI | 1275859480 |
---|---|
Provider Name | Dr. Alejandro David Miranda |
First Address | Steamboat Springs, CO 80487-1841 |
Second Address | Steamboat Springs, CO 80487-1838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 06/02/2021 |