Organization
ADM MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS JUAN MIRANDA M.D. (PRESIDENT)
(787) 464-1384
Entity
Organization
Contact information
Practice address
BAYAMON MEDICAL MALL STE 503, BAYAMON, PR 00959-7200
(787) 464-1384
Mailing address
PO BOX 2669, BAYAMON, PR 00960-2669
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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