MEDICARE: DR. CRES P MIRANDA JR. MD

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	207RC0000X	Cardiovascular Disease Physician	6467	NV
2	207RC0000X	Cardiovascular Disease Physician	G62821	CA
3	207RC0000X	Cardiovascular Disease Physician	23417	AZ
4	207RI0011X	Interventional Cardiology Physician	6467	NV

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	:	1063420065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRES P MIRANDA JR. MD

Provider Business Mailing Address
First Line	:	700 E SILVERADO RANCH BLVD
Second Line	:	SUITE 170
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7516
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:	702-804-0957

Provider Business Practice Location Address
First Line	:	401 N BUFFALO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-0397
Country	:	US
Telephone Number	:	702-240-6482
Fax Number	:	702-804-0957

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	10/10/2023

Similar Medicare Providers

1730683996 — STEVE KIBUOM LEE MD
Practice Location Address:

401 N BUFFALO DR STE 100
LAS VEGAS, NV
89145-0397

Practice Phone: 702-240-6482
Practice Fax:

1528060183 — EDWARD CAREY SPOON JR. MD
Practice Location Address:

401 N BUFFALO DR STE 110
LAS VEGAS, NV
89145-0397

Practice Phone: 702-778-4000
Practice Fax: 702-778-4001

1053303560 — WALTER J EHRMAN MD
Practice Location Address:

401 N BUFFALO DR STE 100
LAS VEGAS, NV
89145-0397

Practice Phone: 702-240-6482
Practice Fax:

1174571442 — DR. MICHAEL JONES O.D.
Practice Location Address:

401 N BUFFALO DR STE 205
LAS VEGAS, NV
89145-0397

Practice Phone: 702-878-7777
Practice Fax:

1659387934 — NEVADA HEART AND VASCULAR CENTER RESH LLP
Practice Location Address:

401 N BUFFALO DR STE 100
LAS VEGAS, NV
89145-0397

Practice Phone: 702-240-6482
Practice Fax: 702-240-8529

1689701245 — DR. ROBERT CREE HAMILTON DDS MS
Practice Location Address:

401 N BUFFALO DR , SUITE 220
LAS VEGAS, NV
89145-0397

Practice Phone: 702-243-3300
Practice Fax: 702-243-3354

Directions to “ DR. CRES P MIRANDA JR. MD” 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.