Individual
MARIELI MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PLAZA LAUREL, ANTIGUA RESIDENCIA DE ENFERMERAS, BAYAMON, PR 00956-3273
(787) 412-4753
Mailing address
SAN GERARDO COLORADO, 1703, SAN JUAN, PR 00926-0000
(787) 412-4753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19369
PR
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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