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Individual

DR. EDDY A MIESES ARIZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
D3 FRONTERA AVE VILLA ANDALUCIA, RIOS PIEDRAS, PR 00926
(787) 761-1555
(787) 292-7260
Mailing address
PO BOX 270011, SAN JUAN, PR 00928-2811
(787) 761-1555
(787) 292-7260

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
11734
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060154
BASUR
01
220174
UTE
01
2346
PREFERRED MEDICARE CHOICE
01
601591
MEDICARE MMM
01
88493MI
TRIPLE S
01
9590091
UMANA
Enumeration date
09/13/2005
Last updated
08/26/2019
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