Organization
PEDIATRIA BUENA VISTA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA L MIRANDA (PRESIDENT)
(787) 799-9977
Entity
Organization
Contact information
Practice address
CARR 167, BAYAMON, PR 00961-4477
(787) 799-9977
Mailing address
URB TINTILLO GARDENS, CALLE 1 B 5, GUAYNABO, PR 00966-1666
(787) 799-9977
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
14533
PR
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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