Individual
LUIS R MIRANDA-IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVDA ASHFORD #128, SUIET 104, GUAYAMA, PR 00784
(787) 866-0153
(787) 866-8848
Mailing address
PO BOX 2009, GUAYAMA, PR 00785-2009
(787) 866-0153
(787) 866-8848
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11511
PR
Other
Enumeration date
11/14/2005
Last updated
10/01/2012
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