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DR. ROBERTO AGUSTIN MIRANDA RIVAS MD
NPI 1457106809
Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

Active since April 19, 2024
1601 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-6010(870) 541-6009 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roberto Agustin Miranda Rivas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERTO AGUSTIN MIRANDA RIVAS MD (NPI 1457106809) is an individual student in an organized health care education/training program in Pine Bluff, Arkansas and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1457106809
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ROBERTO AGUSTIN MIRANDA RIVASCredential: MD
Location Address1601 W 40TH AVEPine Bluff, AR 71603-6069
Mailing Address1601 W 40th AvePine Bluff, AR 71603-6069 · (870) 541-6010 · Fax (870) 541-6009
Phone(870) 541-6010
Fax(870) 541-6009
Sole ProprietorNo
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1457106809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1601 W 40TH AVE, Pine Bluff, AR 71603
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERRY LIEFDE MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
PAVANA NAGA GOPI KRISHNA TIRUMANISETTI MD
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
JEFFERSON HEART, P.A.
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Jefferson County (870) 541-4285
CHINEDU MICHAEL MIKE-ENEH M.B.B.S
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
LIDIA TESHOME DEGEFA MD
Internal Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
HIRA EJAZ SHAH M D
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. AYMAN ALSHAMI MD
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Jefferson County (870) 541-4285
MEFTHE FIKRU BERHANU MD
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Miranda Rivas's NPI number?

The NPI number for Roberto Miranda Rivas is 1457106809. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Roberto Miranda Rivas located?

Roberto Miranda Rivas practices at 1601 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-6010.

What is Roberto Miranda Rivas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Roberto Miranda Rivas was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.