DR. LUIS DA GRACA MIRANDA


Address: 11 Ralph Place, Suite 202, Staten Island, NY 10304
Phone: 7184481555

DR. LUIS DA GRACA MIRANDA (NPI# 1548239213) 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) 1548239213
Entity Type Individual
Full Name DR. LUIS DA GRACA MIRANDA
Credential MD
Practice Address 11 Ralph Place
Suite 202
Staten Island
NY 10304
Practice Telephone 7184481555
Practice Fax Number 7184483950
Mailing Telephone 7184481555
Mailing Fax Number 7184483950
Enumeration Date 2006-03-15
Last Update Date 2010-10-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 115278 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00251487 05

Other Providers LUIS MIRANDA

NPI Name Taxonomy Address Enumeration
1780080150 Luis Enrique Miranda Counselor 7323 Pago St, Orlando, FL 32822-5690 2014-11-13
1619424538 Luis Angel Miranda Pharmacy Technician Q48 Ave Luis Munoz Marin, Caguas, PR 00725-6158 2016-09-08
1902238496 Luis Felipe Miranda Dentist 406 W Washington St, Princeton, KY 42445 2013-08-06
1083857676 Luis F. Miranda Pediatrics 5955 Ponce De Leon Blvd., Coral Gables, FL 33146 2009-04-12
1801992508 Luis E Miranda Obstetrics & Gynecology Instituto San Pablo, Suite 308, Bayamon, PR 00961 2006-09-16

Office Location

Street Address 11 RALPH PLACE
SUITE 202
City STATEN ISLAND
State NY
Zip Code 10304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821230699 S. Ramachandran Nair, Md, PC Internal Medicine 11 Ralph Place, Ste 211, Staten Island, NY 10304 2009-03-25
1972723427 Emerson Medical Pllc Internal Medicine 11 Ralph Place, Suite 305, Staten Island, NY 10304 2007-04-26
1477619716 Peter Edward Jerabeck Occupational Therapist 11 Ralph Place, Suite 111, Staten Island, NY 10304 2006-12-29
1467517284 Constancio P Tiglao Jr. Internal Medicine 11 Ralph Place, Rm 214, Staten Island, NY 10304 2006-12-22
1730243718 S Ramachandran Nair Internal Medicine 11 Ralph Place, Ste 211, Staten Island, NY 10304 2006-12-21
1780759886 Young F Eng Internal Medicine 11 Ralph Place, Suite 204, Staten Island, NY 10304-4419 2006-11-22
1386750792 Raul P Sala Physical Medicine & Rehabilitation 11 Ralph Place, Suite 112, Staten Island, NY 10304 2006-08-21
1215949243 Robert J Petosa Chiropractor 11 Ralph Place, Ste 314, Staten Island, NY 10304 2006-08-11
1477561918 Denise M Sanfilippo Ophthalmology 11 Ralph Place, Room 311, Staten Island, NY 10304 2006-08-03
1508887324 Sima Raguthu Psychiatry & Neurology 11 Ralph Place, Staten Island, NY 10304 2006-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215542923 Margaret Chifong Tam Nurse Practitioner 85 Venice Avenue, Staten Island, NY 10304 2020-09-10
1598397788 Alexandria & Akea's Playhouse, Inc. Day Training, Developmentally Disabled Services 1864 Clove Road, Staten Island, NY 10304 2020-02-06
1548746811 Bryant Edward Pearson Technician/Technologist 664 Bay Street, Staten Island, NY 10304 2018-07-19
1366941668 Safwat Attia Youssef Orthopaedic Surgery 25 Sunrise Terrace, Staten Island, New York, NY 10304 2018-02-02
1699294090 Kate Lynn Chimienti Specialist/Technologist 52 Smith Ter Fl1, Staten Island, NY 10304 2017-09-17
1881117315 Fun Speech Therapy, P.C. Early Intervention Provider Agency 367 St Pauls Ave., Staten Island, NY 10304 2017-07-17
1720517097 Senada Pelinkovic Speech-Language Pathologist 29 Remsen St, Staten Island, NY 10304 2017-06-08
1760927255 Kpannah Moore Licensed Practical Nurse 492 Vanderbilt Avenue, Staten Island, NY 10304 2016-12-20
1689116592 Rena Li Registered Nurse 30 Celebration Lane, Staten Island, NY 10304 2016-11-09
1407304835 Esther Mitnick Counselor 285 Vanderbilt Avenue, State Island, NY 10304 2016-09-14
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558620369 Daniel Sagalovich Urology 900 South Ave Ste 103, Staten Island, NY 10314-3428 2012-05-14
1336312909 David Stanley Friedman Urology 2 President St, Staten Island, NY 10314-4120 2008-04-03
1104808997 Jeffrey Allan Lessing Urology 78 Todt Hill Rd, Staten Island, NY 10314-4528 2005-11-16
1205829892 Michael Anthony Savino Urology 375 Seguine Ave, Staten Island, NY 10309-3932 2005-08-29
1144221474 Adley Raboy Urology 1460 Victory Blvd, Staten Island, NY 10301-3914 2005-08-09
1568746014 Luis G. Miranda, M.d., P.C. Urology 11 Ralph Pl, Suite 202, Staten Island, NY 10304-4401 2011-10-03
1891942157 Todt Hill Urologic Group, P.c Urology 78 Todt Hill Rd, Suite 112, Staten Island, NY 10314-4528 2008-08-19
1457576787 Staten Island Urological Associates Urology 1460 Victory Blvd, Staten Island, NY 10301 2007-04-13
1679697312 Mark Horowitz Md Pediatric Urology Pllc Urology 256 Mason Ave, Staten Island, NY 10305 2007-03-19
1457417297 Nicholas Theodore Karanikolas Urology 900 South Ave, Staten Island, NY 10314-3418 2006-12-28
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10304

Improve Information

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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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