Individual provider · Type 1 NPI

Gustavo Miranda

Student in an Organized Health Care Education/Training Program · Mesa, AZ

NPI number 1144162900 Active

Practice location

10813 E Rafael Cir
Mesa, AZ 85212-2523

Call (805) 231-0064 Map

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 1144162900

Gustavo Miranda's National Provider Identifier is 1144162900, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mesa, AZ. The record was last updated on Apr 8, 2026.