Individual
DANA MIRO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CARR. 165 TORRE 1 SUITE C-107, CENTRO INTERNACIONAL DE MERCADEO, GUAYNABO, PR 00968
(787) 999-5400
Mailing address
A4 CALLE 2 MANSIONES DE GARDEN HILLS, GUAYNABO, PR 00966
(787) 943-8000
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558
LICENSE
—
Enumeration date
04/13/2010
Last updated
07/25/2018
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