DR. WIDALYS SANTIAGO MIRANDA


Address: 140 W Government St, Pensacola, FL 32502-5703
Phone: 9186163366

DR. WIDALYS SANTIAGO MIRANDA (NPI# 1104063023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104063023
Entity Type Individual
Full Name DR. WIDALYS SANTIAGO MIRANDA
Credential M.D.
Practice Address 140 W Government St
Pensacola
FL 32502-5703
Mailing Address Po Box 4274
Milton
FL 32572-4274
Practice Telephone 9186163366
Mailing Telephone 9186163366
Enumeration Date 2009-01-14
Last Update Date 2019-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ACN885 FL Allopathic & Osteopathic Physicians
N 208D00000X General Practice 17440 PR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL ACN MEDICAL LICENSE ACN885 01
FL DEPARTMENT OF JUSTICE DEA FS1246669 01

Office Location

Street Address 140 W GOVERNMENT ST
City PENSACOLA
State FL
Zip Code 32502-5703

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275199762 Anita Kay Morris Marriage & Family Therapist 25 W Cedar St Ste 205, Pensacola, FL 32502 2019-05-10
1013409028 Everydaydoctor Inc Internal Medicine 13 Palafox Pl Ste 200, Pensacola, FL 32502 2018-06-05
1780119115 Felisha Palmer Nurse's Aide 619 W Gregory St Apt A, Pensacola, FL 32502 2017-04-24
1619428257 Young Men's Christian Association of Northwest Florida, Inc. Health Educator 165 E.intendencia Street, Pensacola, FL 32502 2016-10-19
1972968386 Lauren Reeves Counselor 435 E Zarragossa St, Pensacola, FL 32502 2015-12-30
1902202492 Amabel Arquillano Physical Therapist 600 West Gregory Street, Pensacol, FL 32502 2014-11-10
1639579568 Community Experiences LLC Home Health 321 N Devillers St Suite 221, Pensacola, FL 32502 2014-08-28
1831523612 Our Lady of Angels, St. Joseph Medical Clinic, Inc Clinic/Center 131 W. Intendencia St., Pensacola, FL 32502 2013-08-28
1295013266 Sabrina Gail Evans Family Medicine 236 West Garden Street, Pensacola, FL 32502 2011-07-25
1356538771 Optum Infusion Services 204, Inc. Pharmacy 201 N. Tarragona Street, Pensacola, FL 32502 2007-09-30
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851939813 Cher Lakeesha Nix General Practice 1820 W De Soto St, Pensacola, FL 32501-6432 2019-12-20
1386012896 Anil Kumar Raj General Practice 40 S Alcaniz St, Pensacola, FL 32502-6008 2015-09-14
1609267475 Stephen C. Lott, Psy.d. LLC General Practice 105 E Gregory Sq, Suite G, Pensacola, FL 32502-4971 2015-02-13
1871831958 Peter Christian Delevett General Practice 131 W Intendencia St, Pensacola, FL 32502-5708 2013-01-23
1518282417 Timothy Duane Brooks General Practice 4806 Rosemont Pl, Pensacola, FL 32514-7909 2010-04-02
1699956730 Tim J Gallagher General Practice 382 Gulfview Ln, Pensacola, FL 32507-7840 2007-11-16
1750437497 Minh Cong Pham General Practice 2812 W Cervantes St, Pensacola, FL 32505-7159 2007-01-26
1336218023 Kenric Turingan Aban General Practice 2325 Aegean Ter, Pensacola, FL 32503-5854 2006-11-07
1396838090 Lieng Kim Du General Practice 907 North U Street, Pensacola, FL 32505 2006-10-02
1679543797 Nora B Wilcox General Practice Nbhc, Bldg #3600, Pensacola, FL 32508-0000 2006-01-23
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Competitor

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City PENSACOLA
Zip Code 32502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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