Individual provider · NPI-1

Dr. Gira Ileana Graciano Mireles, MD

Psychiatry & Neurology, Neurology · Neptune, NJ

NPI number1154986255
StatusActive
Last updated in NPPESAug 10, 2026

Details

NPI
1154986255
Entity type
Individual (NPI-1)
Name
Dr. Gira Ileana Graciano Mireles
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 3, 2019
Certification date
Aug 10, 2026
Last updated
Aug 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology25MA13124100NJYes
2084N0400X Psychiatry & Neurology, Neurology319751NY
390200000X Student in an Organized Health Care Education/Training Program319751NY

Practice location

1945 Rt 33
Amdur Pavilion
Neptune, NJ 07753

Phone 732-897-3600

Mailing address

331 Newman Springs Rd
Bldg 2, Ste 220
Red Bank, NJ 07701-5688

Other practice locations

1275 York Ave
New York, NY 10065-6007

Phone 347-798-9213

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