Individual provider · Type 1 NPI

Roberto Agustin Miranda Rivas, MD

Student in an Organized Health Care Education/Training Program · Pine Bluff, AR

NPI number 1457106809 Active

Practice location

1601 W 40th Ave
Pine Bluff, AR 71603-6069

Call (870) 541-6010 Map

Fax (870) 541-6009

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 1457106809

Roberto Agustin Miranda Rivas, MD's National Provider Identifier is 1457106809, issued on Apr 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pine Bluff, AR. The record was last updated on Apr 19, 2024.