MEDICARE: DR. EMANUEL A DE MIRANDA-SANCHEZ MD, MSMS

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	208600000X	Surgery Physician	60940	KY
2	208600000X	Surgery Physician	22749	PR

General Provider Information

NPI Number	:	1598320202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMANUEL A DE MIRANDA-SANCHEZ MD, MSMS

Provider Business Mailing Address
First Line	:	QUADRANGLE MEDICAL CENTER
Second Line	:	SUITE 205 AVE. LUIS MUNOZ MAR
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-244-7611
Fax Number	:

Provider Business Practice Location Address
First Line	:	QUADRANGLE MEDICAL CENTER
Second Line	:	AVE. LUIS MUNOZ MARIN, SUITE 205
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-244-7611
Fax Number	:

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

Provider Enumeration Date	:	05/08/2019
Last Update Date	:	04/29/2026

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