National Provider Identifier Database

FIDEL O MIRALLES SR
Driver

A person employed to operate a motor vehicle as a carrier of persons or property.


Contact Information

FIDEL O MIRALLES SR
4660 LA JOLLA VILLAGE DR STE 100-200
SAN DIEGO, CA92122-4601
Phone: 619-253-8951
Fax:
Website:
Specialty Taxonomy Code
* Driver 172A00000X
Patient Transport 2278P4000X
Patient Transport 2279P4000X

* Indicates primary specialty

NPI Profile & details for FIDEL O MIRALLES SR

NPI Number 1063191021
Credentials
Entity Individual
Enumeration date 07/17/2023
Last updated 07/19/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 5403693
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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