Individual
MR. OMAR ALEXIS MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LND
Contact information
Practice address
STREET 1 B-12, URB. COLINAS VERDES, SAN JUAN, PR 00924-5311
(787) 752-3928
Mailing address
STREET 1 B-12, URB. COLINAS VERDES, SAN JUAN, PR 00924
(787) 752-3928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1843
PR
Other
Enumeration date
04/25/2013
Last updated
06/26/2015
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