Individual provider · Type 1 NPI

Osvaldo I. Miranda Medina

Rehabilitation Practitioner · San Jose, CA

NPI number 1043952260 Active

Practice location

1185 Pedro St
San Jose, CA 95126-3757

Mailing address

5564 Lean Ave
San Jose, CA 95123-6108

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X101Y00000X
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1043952260

Osvaldo I. Miranda Medina's National Provider Identifier is 1043952260, issued on Apr 8, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jun 25, 2025.