Individual
FERMIN C. MIRANDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
566B ALTOS JJ JIMENEZ STREET, SAN JUAN, PR 00918
(787) 250-6010
(787) 250-1116
Mailing address
566B ALTOS JJ JIMENEZ STREET, SAN JUAN, PR 00918
(787) 250-6010
(787) 250-1116
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
03539
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02700DM-3
NARCOTIC LICENSE
PR
01
—
03539
MEDICAL LICENSE
PR
Enumeration date
06/17/2005
Last updated
03/07/2023
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