Organization
MIRANDA OBGYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M MIRANDA RIVAS MD (OWNER)
(787) 510-2928
Entity
Organization
Contact information
Practice address
128 CALLE ASHFORD, ASHFORD MEDICAL PLAZA SUITE 104, GUAYAMA, PR 00784
(787) 510-5029
Mailing address
PO BOX 2009, GUAYAMA, PR 00785-2009
(787) 510-5029
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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