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

Lazaro Guillermo Miranda Alfonso

Individual provider Driver · NPI 1023869435

Lazaro Guillermo Miranda Alfonso is a Driver in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

5332 Santa Monica Blvd N
Jacksonville, FL 32207-7435
Phone: (305) 849-5208
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X (FL)

Record details

NPI number1023869435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

Other providers in Jacksonville