Individual provider · Type 1 NPI

Santiago Jose Miyara, MD/PHD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1538801550 Active

Practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

21 Walnut Rd
Glen Cove, NY 11542-2246

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 1538801550

Santiago Jose Miyara, MD/PHD's National Provider Identifier is 1538801550, issued on Apr 11, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Apr 11, 2022.