Organization
MONTALVAN MIRO DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA M MONTALVAN MIRO M.D. (PRESIDENT)
(787) 403-5401
Entity
Organization
Contact information
Practice address
CARR 693 ESQUINA AVE. JOSE EFRON, DOCTORS HEALTH CENTER DORADO CLINIC #24 PLAZA DORADA, DORADO, PR 00646-4810
(787) 621-3322
Mailing address
1511 AVE PONCE DE LEON APT 1183, SAN JUAN, PR 00909-5001
(787) 403-5401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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