National Provider Identifier

Omar Izquierdo Miranda, RN

Omar Izquierdo Miranda, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (786) 803-5487.

NPI 1811671241Rochester, NYRegistered Nurse

Profile Overview

NPI
1811671241
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
June 14, 2023
Last Updated
June 14, 2023

Practice Location

  • 265 Newton RD
  • Rochester, NY 14626-2337

Phone: (786) 803-5487

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1811671241
Entity Type
Individual
Last Name
Izquierdo Miranda
First Name
Omar
Credential
RN
Mailing Street Address
265 Newton RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-2337
Mailing Country
US
Mailing Phone
(786) 803-5487
Practice Street Address
265 Newton RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-2337
Practice Country
US
Practice Phone
(786) 803-5487
Enumeration Date
June 14, 2023
Last Updated
June 14, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
June 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)