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Individual

DR. ADA SMYRNA MIRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
HOSPITAL METROPOLITANO DR. SUSONI, CALLE PALMA, ARECIBO, PR 00613
(787) 650-1030
(787) 650-1040
Mailing address
VILLAS DEL CAPITAN SOLANDRA AA 18 BUZON 38, ARECIBO, PR 00612
(787) 879-0732
(787) 879-0732

Taxonomy

Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
5412
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5412
STATE LICENSE
PR
Enumeration date
05/04/2007
Last updated
07/08/2007
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