Individual
WILLIAM DANIL MIRANDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PARQUE CENTRO, BO. MONACILLOS, SAN JUAN, PR 00918-5000
(787) 754-0101
Mailing address
PO BOX 2116, SAN JUAN, PR 00922-2116
(787) 754-0101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19303
PR
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
19303
PR
Other
Enumeration date
06/24/2013
Last updated
09/18/2020
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