Individual
DR. EDWIN MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
JORK STREET H-14, CAMBRIDGE PARK, SAN JUAN, PR 00926
(787) 767-1385
(787) 767-1385
Mailing address
JORK STREET H-14, CAMBRIDGE PARK, SAN JUAN, PR 00926
(787) 767-1385
(787) 767-1385
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4314
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4314
LICENSE NUMBER
PR
Enumeration date
04/13/2007
Last updated
07/08/2007
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