IndividualActive
Altory Miranda, MD
NPI 1871891507 · General Practice Physician · Moseley, VA
Provider details
- NPI number
- 1871891507
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101249211 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
16313 Falconers Ter
Moseley, VA 23120-1655
Phone: (804) 554-6134
Fax: (410) 569-7137
Approximate (ZIP-level) locationGet directions
Mailing address
16313 Falconers Ter
Moseley, VA 23120-1655
Registry dates
- Enumerated
- 2011-03-03
- Last updated
- 2016-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.