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JOSE ANTONIO MIRO CEBALLOS M.D.
NPI 1720203813
General Practice in San Juan, PR

Active since April 16, 2007
1003 CALLE ACAPULCO, SAN JUAN, PR 00920(787) 749-0849(787) 749-9623 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose Antonio Miro Ceballos M.d. NPPES

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

JOSE ANTONIO MIRO CEBALLOS M.D. (NPI 1720203813) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (6979) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1720203813
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOSE ANTONIO MIRO CEBALLOSCredential: M.D.
Location Address1003 CALLE ACAPULCOSan Juan, PR 00920-4054
Mailing AddressPo Box 367056San Juan, PR 00936-7056 · (787) 749-0849 · Fax (787) 749-9623
Phone(787) 749-0849
Fax(787) 749-9623
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1720203813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 6979
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1003 CALLE ACAPULCO, San Juan, PR 00920
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Other Identifiers 3

Medicare ID-Type Unspecified29600PR · Medicare Number
Other29600MIPR · Sss Provider Number
Medicare UPINC82653PR

Other Providers at the Same Location NPPES

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

DR. JOSE FRANCISCO MIRO MD, FAAPMR
Physical Medicine & Rehabilitation
1003 CALLE ACAPULCO, 2
SAN JUAN, PR 00920
San Juan Municipio (787) 590-1932

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 Jose Miro Ceballos's NPI number?

The NPI number for Jose Miro Ceballos is 1720203813. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jose Miro Ceballos located?

Jose Miro Ceballos practices at 1003 Calle Acapulco, San Juan, PR 00920. The listed phone number is (787) 749-0849.

What is Jose Miro Ceballos's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jose Miro Ceballos was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.