Individual provider · Type 1 NPI

Lucas Gerardo Miranda-Martinez

Student in an Organized Health Care Education/Training Program · Aurora, CO

NPI number 1114635992 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2520

Call (720) 848-0000 Map

Mailing address

240 E Huron St Ste 1-200
Chicago, IL 60611-2909

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114635992

Lucas Gerardo Miranda-Martinez's National Provider Identifier is 1114635992, issued on Nov 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aurora, CO. The record was last updated on Jul 26, 2026.