Individual
MRS. ILIANETTE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
CARR. #2 KM 1.64, PLAZA MONSERRATE, HORMIGUEROS, PR 00660
(178) 784-9074
(178) 784-9301
Mailing address
139 CALLE PEDRO D ACOSTA, URB. SANTA MARIA, SABANA GRANDE, PR 00637-2079
(178) 784-9074
(178) 784-9301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4878
PR
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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