Individual provider · Type 1 NPI

Juan Carlos Pantoja Miranda, MD

Student in an Organized Health Care Education/Training Program · South Miami, FL

NPI number 1457043093 Active

Practice location

7031 SW 62nd Ave
South Miami, FL 33143-4701

Mailing address

999 Brickell Bay Dr Apt 1608
Miami, FL 33131-2932

Other practice locations

  • 2320 NE 9th St Ste 300, Fort Lauderdale, FL 33304-3590 · (954) 563-4500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X42018 (FL)

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 1457043093

Juan Carlos Pantoja Miranda, MD's National Provider Identifier is 1457043093, issued on May 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Miami, FL. The record was last updated on Jun 3, 2025.