Healthcare Provider Details

I. General information

NPI: 1003753641
Provider Name (Legal Business Name): FRANCES N MIRANDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3178 AVE. DEL VALLE
TOA BAJA PR
00949
US

IV. Provider business mailing address

517 CALLE CAMINO ESTRELLA
VEGA BAJA PR
00693-4184
US

V. Phone/Fax

Practice location:
  • Phone: 787-403-0703
  • Fax:
Mailing address:
  • Phone: 787-454-7133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1154
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: