Individual provider · Type 1 NPI

Jermyn Douglas Miranda

Rehabilitation Practitioner · Mountain View, CA

NPI number 1689032419 Active

Practice location

1503 Grant Rd Ste 110
Mountain View, CA 94040-3270

Call (650) 484-1213 Map

Fax (408) 642-6052

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1689032419

Jermyn Douglas Miranda's National Provider Identifier is 1689032419, issued on Feb 8, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Mountain View, CA. The record was last updated on Jun 2, 2025.