Provider Demographics
NPI:1316567209
Name:MIRANO-DE GUZMAN, MARIA VERONICA DE TORRES (MD, MBA)
Entity type:Individual
Prefix:MRS
First Name:MARIA VERONICA
Middle Name:DE TORRES
Last Name:MIRANO-DE GUZMAN
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:MS
Other - First Name:MARIA VERONICA
Other - Middle Name:DE TORRES
Other - Last Name:MIRANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MBA
Mailing Address - Street 1:1044 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1006
Mailing Address - Country:US
Mailing Address - Phone:330-480-7320
Mailing Address - Fax:330-729-1591
Practice Address - Street 1:1044 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1006
Practice Address - Country:US
Practice Address - Phone:330-480-7320
Practice Address - Fax:330-729-1591
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.149214208M00000X
OH57.249398207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine