Provider Demographics
NPI:1972391332
Name:SOTO MIRANDA, LAURA (LAURA SOTO MIRANDA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SOTO MIRANDA
Suffix:
Gender:
Credentials:LAURA SOTO MIRANDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 VALENCIA AVE APT 11
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5739
Mailing Address - Country:US
Mailing Address - Phone:346-226-9207
Mailing Address - Fax:
Practice Address - Street 1:430 VALENCIA AVE APT 11
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5739
Practice Address - Country:US
Practice Address - Phone:346-226-9207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician