Individual
ADDYTH G MIRANDA VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR # 22 BO MONACILLOS, SAN JUAN, PR 00935-0001
(787) 474-0333
Mailing address
CARR # 22 BO MONACILLOS, SAN JUAN, PR 00935-0001
(787) 474-0333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17150
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/18/2023
Last updated
03/06/2025
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