Individual
DR. IVAN CARDONA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE STA CRUZ #70 URB STA CRUZ, BAYAMON, PR 00959
(787) 620-9581
Mailing address
PO BOX 379, DORADO, PR 00646-0379
(787) 620-9581
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6474
PR
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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