Individual
JUAN RAMON MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 CALLE ARZUAGA, SAN JUAN, PR 00925-3703
(787) 765-5106
(787) 751-5626
Mailing address
PO BOX 21107, SAN JUAN, PR 00928-1107
(787) 765-5106
(787) 751-5626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0921
PR
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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