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

Mark Anthony Patatag Miranda Jr.

Individual provider Athletic Trainer · NPI 1720846959

Mark Anthony Patatag Miranda Jr. is an Athletic Trainer in Bridgeport, Connecticut. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

65 Wedgewood Pl
Bridgeport, CT 06606-1927
Phone: (323) 365-4549
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1720846959
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

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