Mauricio Miranda, PA-C

NPI 1982305462 · on the registry since 2023 · sole proprietor

Practice

Address: 431 W Liberty St
Wauconda, IL 60084
Phone: (847) 526-2151
Fax: (847) 526-2017
Organisation at this address: Family Medicine Specialists, Inc
Family Medicine Specialists, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 44

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois