Individual
DR. ROBERTO MIRANDA GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR 653 KM 2.2 BO HATO ABAJO SECTOR BARRANCAS, ARECIBO, PR 00612-0000
(787) 609-3070
(787) 609-3070
Mailing address
URB JARDINES DE ARECIBO, CALLE PU #1, ARECIBO, PR 00612-0000
(787) 879-3459
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17064
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295906204
—
PR
01
—
2039426
DRIVER LICENCE
PR
Enumeration date
03/18/2008
Last updated
10/14/2022
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