Individual
GLENDA MICHELLE MIRANDA TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
HOSPITAL AUXILIO MUTUO, AVE PONCE DE LEON PDA 37 1/2, SAN JUAN, PR 00919
(787) 758-2000
Mailing address
PO BOX 1947, CAGUAS, PR 00726-1947
(787) 224-0499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17265
PR
207RN0300X
Nephrology Physician
Primary
17265
PR
Other
Enumeration date
10/08/2008
Last updated
06/25/2020
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