Individual
MR. MANUEL ANTONIO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
E75 VILLA ORIENTE, HUMACAO, PR 00791-3444
(787) 556-0709
Mailing address
E75 VILLA ORIENTE, HUMACAO, PR 00791-3444
(787) 556-0709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1802671
PR
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
05/05/2010
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