Individual
ELIEL MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 416 KM 1.3, AGUADA, PR 00602
(787) 214-2067
Mailing address
HC 3 BOX 31531, AGUADA, PR 00602-9757
(787) 214-2067
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22064
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080010193161
—
PR
Enumeration date
10/22/2020
Last updated
10/22/2020
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