Idalia Montanez Miranda Pllc

Specialty details in registry · St Augustine, FL

Call (805) 505-7210 Directions

At a glance

130 Shipyard Way Unit 1107, St Augustine, FL 32084-4239

NPPES record updated Jun 24, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

130 Shipyard Way Unit 1107
St Augustine, FL 32084-4239

Professional details: NPI, taxonomy & registry record

NPI1588580716

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103TC0700X
Enumeration date: Jun 24, 2026
Record updated: Jun 24, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TC0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

130 Shipyard Way Unit 1107
St Augustine, FL 32084-4239

Phone: (805) 505-7210

Mailing address

PO BOX 126

ST AUGUSTINE, FL 320850126

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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