Organization
CARMEN DIAZ
Active
Other names
Miramar Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN DIAZ (OWNER)
(787) 706-0209
Entity
Organization
Contact information
Practice address
518 CALLE DRESDE, PUERTO NUEVO, SAN JUAN, PR 00920-3731
(787) 706-0209
(787) 774-5991
Mailing address
39 STREET URB. SANTA JUANTITA, UU 1 PMB 117, BAYAMON, PR 00956
(787) 706-0209
(787) 774-5991
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1281640001
PR
Other
Enumeration date
10/10/2006
Last updated
03/03/2008
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