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NPI Code Detail

MEDICARE: DR. CYNDEE CRUZ MIRANDA M.D.

MEDICARE: DR. CYNDEE CRUZ MIRANDA 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
1207RI0200XInfectious Disease Physician35.091848OH

General Provider Information

NPI Number : 1407049166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNDEE CRUZ MIRANDA M.D.
Provider Business Mailing Address
First Line : 9500 EUCLID AVE # DESKG-21
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE # DESKG-21
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-445-5793
Fax Number : 216-445-9446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2007
Last Update Date : 08/17/2010

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