Individual provider · NPI-1

Jose Miranda Anaya

Respiratory Therapist, Registered, General Care · San Antonio, TX

NPI number1154839579
StatusActive
Last updated in NPPESJan 19, 2018

Details

NPI
1154839579
Entity type
Individual (NPI-1)
Name
Jose Miranda Anaya
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 19, 2018
Last updated
Jan 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2279G1100X Respiratory Therapist, Registered, General CareRCP000078099TXYes
2278P3900X Respiratory Therapist, Certified, Neonatal/Pediatrics––

Practice location

11212 Tx-151
San Antonio, TX 78251

Phone 210-703-8141

Mailing address

2507 Oak Rain
San Antonio, TX 78251-2527

Phone 619-818-9140

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