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Individual

CHRISTIAN J MIRANDA ROLDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SW

Contact information

Practice address
PO BOX 2394, CANOVANAS, PR 00729-2394
(787) 392-2577
Mailing address
PO BOX 2394, CANOVANAS, PR 00729-2394
(787) 392-2577

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
PR
104100000X
Social Worker
Primary
15571
PR

Other

Enumeration date
05/24/2024
Last updated
05/24/2024
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