Individual
MIREILLE DE LOS ANGELES PUPO BARROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1272 NW 119TH ST, MIAMI, FL 33167-3232
(305) 685-5688
Mailing address
1272 NW 119TH ST, MIAMI, FL 33167-3232
(305) 685-5688
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1532
FL
390200000X
Student in an Organized Health Care Education/Training Program
16118-I
PR
Other
Enumeration date
05/18/2022
Last updated
05/19/2025
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