MEDICARE: DR. PABLO ENRIQUE MIRANDA II D.M.D.

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	122300000X	Dentist	15212	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023036365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PABLO ENRIQUE MIRANDA II D.M.D.

Provider Business Mailing Address
First Line	:	327 MENORES AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33134-3840
Country	:	US
Telephone Number	:	305-856-2300
Fax Number	:	305-325-0935

Provider Business Practice Location Address
First Line	:	2375 SW 27TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3641
Country	:	US
Telephone Number	:	305-856-2300
Fax Number	:	305-856-0921

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	04/21/2026

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