Provider Demographics
NPI:1144111337
Name:GARCIA, MIRANDA JEWELS
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:JEWELS
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10517 PARIS ST UNIT 507
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80640-9012
Mailing Address - Country:US
Mailing Address - Phone:720-651-3843
Mailing Address - Fax:
Practice Address - Street 1:10517 PARIS ST UNIT 507
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80640-9012
Practice Address - Country:US
Practice Address - Phone:720-651-3843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula