Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Carlos Javier Glanville Miranda, MD

Individual provider Surgery Physician · NPI 1275705253

Dr. Carlos Javier Glanville Miranda, MD is a General Surgery in Suffolk, Virginia. Graduated from Ponce School of Medicine in 2006, 20 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
20
Trained at
Ponce School of Medicine
Licensed in
PA, VA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8158
Phone: (757) 931-4222
Fax: (757) 934-4111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 — (610) 402-8334

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 0101252033 (VA)
Surgery Physician Taxonomy 208600000X · Licence 0101252033 (VA)
Surgery Physician Taxonomy 208600000X · Licence MT188562 (PA)

Record details

NPI number1275705253
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2008
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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