Miranda F. Cristales, P.A.-C.
Physician Assistant, Surgical in East Lansing, MI. Individual provider (NPI-1).
NPI number1508023151
StatusActive
Last updated in NPPESJun 9, 2016
Details
- NPI
- 1508023151
- Entity type
- Individual (NPI-1)
- Name
- Ms. Miranda F. Cristales
- Credential
- P.A.-C.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2008
- Last updated
- Jun 9, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 5601005230 | MI | Yes |
Practice location
4660 S Hagadorn Rd#600
East Lansing, MI 48823-5376
Phone 517-267-2460 · Fax 517-884-8602
Mailing address
804 Service RdA201
East Lansing, MI 48824-7015
Phone 517-884-2976 · Fax 517-432-3928
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Other Surgical Physician Assistant providers in East Lansing, MI
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