MEDICARE: MIRANDA LIN RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1295386456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRANDA LIN RODRIGUEZ

Provider Business Mailing Address
First Line	:	7402 GALLOP DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78227-2744
Country	:	US
Telephone Number	:	210-803-3931
Fax Number	:

Provider Business Practice Location Address
First Line	:	2539 SKYBOUND
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78245-4648
Country	:	US
Telephone Number	:	210-803-3931
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2019
Last Update Date	:	09/27/2019

Similar Medicare Providers

1295100402 — NORMA LOZANO RPH
Practice Location Address:

125 LAFAYETTE AVE
SAN ANTONIO, TX
78209-4648

Practice Phone: 210-725-6394
Practice Fax:

1437565280 — BEVIN NICOLE DEMUTH LCSW
Practice Location Address:

2028 PARK ROYAL DR
SAN JOSE, CA
95125-4648

Practice Phone: 650-305-1044
Practice Fax:

1245762467 — ALINE LIEU
Practice Location Address:

4648 KINGSPARK DR
SAN JOSE, CA
95136-2324

Practice Phone: 408-313-5364
Practice Fax:

1376001784 — WILSON HSIEH
Practice Location Address:

4648 PARK MILFORD PL
SAN JOSE, CA
95136-2521

Practice Phone: 408-805-1806
Practice Fax:

1881230605 — MRS. CAROLE LINE ALTINA LMT
Practice Location Address:

2828 W CANYON AVE
SAN DIEGO, CA
92123-4648

Practice Phone: 619-301-9041
Practice Fax:

1033781448 — AMRATHA PHATAK
Practice Location Address:

7063 CANTABERRA CT
SAN DIEGO, CA
92129-4648

Practice Phone: 858-225-9150
Practice Fax:

Directions to “ MIRANDA LIN RODRIGUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.