Individual
MRS. CARMEN MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 2 BOX 11, SAN JUAN, PR 00926-9767
(787) 625-2900
(787) 760-2944
Mailing address
12 CALLE CASCADA, GUAYNABO, PR 00969-3610
(787) 625-2900
(787) 760-2944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5633
PR
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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