NPI 1174101117
Jeremy Miranda
Practice location
- Address
- 35th Medical Group Bldg 99, Unit 5024, Apo, AP 96319-5024
- Phone
- (315) 226-6607
- Mailing address
- Psc 76 Box 7182, Apo, AP 96319-0072
Registered specialties
Pharmacist
Primary
Registry record
- NPI
- 1174101117
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Mar 2021
- Record last updated
- 15 Aug 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.