# DR. ANGEL MIRO DIAZ, PSC

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

## Provider details

- **NPI number:** 1881013225
- **Authorized official:** DR. ANGEL J MIRO M.D. (PRESIDENTE)
- **Authorized official phone:** (787) 282-3000

## Contact information

- **Practice address:** 369 CALLE DE DIEGO, TORRE SAN FRANCISCO SUITE 507, SAN JUAN, PR 00923-3003
- **Practice address phone:** (787) 282-3000
- **Practice address fax:** (787) 282-3080
- **Mailing address:** PO BOX 29586, SAN JUAN, PR 00929-0586
- **Mailing address phone:** (787) 282-3000
- **Mailing address fax:** (787) 282-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 9630 | PR | Yes |

## Other

- **Enumeration date:** 04/14/2014
- **Last updated:** 04/14/2014