Individual
MIREILLE DE LOS ANGELES PUPO BARROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27455 S DIXIE HWY, HOMESTEAD, FL 33032-8231
(305) 245-3247
(786) 475-7246
Mailing address
1000 NW 57TH CT STE 400, MIAMI, FL 33126-3292
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
07/20/2026
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