# ADM MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194047951
- **Authorized official:** CARLOS JUAN MIRANDA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 464-1384

## Contact information

- **Practice address:** BAYAMON MEDICAL MALL STE 503, BAYAMON, PR 00959-7200
- **Practice address phone:** (787) 464-1384
- **Mailing address:** PO BOX 2669, BAYAMON, PR 00960-2669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2010
- **Last updated:** 02/22/2010
