Organization
SPORTS MEDICINE CAGUAS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALEXANDER MIRANDA M.D. (SOLE OWNER)
(787) 306-0118
Entity
Organization
Contact information
Practice address
201 GAUTIER BENITEZ AVE, CONSOLIDATED MEDICAL PLAZA STE 305, CAGUAS, PR 00725
(787) 704-0033
(787) 704-0090
Mailing address
35 JUAN C. BORBON STE 67, PMB 327, GUAYNABO, PR 00969
(787) 704-0033
(787) 704-0090
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/19/2015
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