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NPI Code Detail

MEDICARE: GERMAN HENRIQUEZ MIRANDA

MEDICARE: GERMAN HENRIQUEZ MIRANDA
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
1101Y00000XCounselorMA

General Provider Information

NPI Number : 1710836002
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERMAN HENRIQUEZ MIRANDA
Provider Business Mailing Address
First Line : 301 BROADWAY
Second Line :
City : CHELSEA
State : MA
Zip : 02150-2807
Country : US
Telephone Number : 617-889-4860
Fax Number : 617-889-4635
Provider Business Practice Location Address
First Line : 301 BROADWAY
Second Line :
City : CHELSEA
State : MA
Zip : 02150-2807
Country : US
Telephone Number : 617-889-4860
Fax Number : 617-889-4635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ GERMAN HENRIQUEZ MIRANDA ” Practice Location

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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.

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