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Individual

JAVIER A VEGA-MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 CALLE CASIA, VA MEDICAL CENTER, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
M11 CALLE REY JORGE V, QUINTAS REALES, GUAYNABO, PR 00969-5286
(787) 287-2633

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15063
PR

Other

Enumeration date
11/18/2005
Last updated
07/08/2007
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