Individual
ANTONIO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
URB. HORIZONTES CALLE BOREAL A-5, GURABO, PR 00778
(787) 467-2676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21357
PR
208M00000X
Hospitalist Physician
Primary
21357
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2016
Last updated
10/15/2021
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