Individual
MRS. VIVIANA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
26 FLORIDIANO, 2602, CAROLINA, PR 00987-7717
(787) 397-1512
Mailing address
FLORIDIANO 26 CHALETS DE LA FUENTE, 2602, CAROLINA, PR 00987-7717
(787) 397-1512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
833
PR
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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