Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | 286002-1 | NY |
Y | 207RG0300X | Geriatric Medicine | E-11317 | AR |
N | 207RH0002X | Hospice and Palliative Medicine | E-11317 | AR |
NPI | 1083976534 |
---|---|
Provider Name | Veronica Alicia Pinto Miranda |
First Address | Little Rock, AR 72223-4746 |
Second Address | Little Rock, AR 72205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2012 |
Last Update Date | 17/07/2018 |