Individual
DR. MILTON R MIRANDA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150-4800
(787) 925-5756
Mailing address
135 CHAMPIONS BND, SAN ANTONIO, TX 78258-4804
(787) 925-5756
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
18615
PR
208000000X
Pediatrics Physician
Primary
S7729
TX
Other
Enumeration date
01/18/2013
Last updated
10/19/2021
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