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Individual

MANUEL N MIRANDA-FERRER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
735 AVE PONCE DE LEON, SUITE 202 TORRE MEDICA AUXILIO MUTUO, HATO REY, PR 00917-5022
(787) 751-7010
(787) 754-3238
Mailing address
PO BOX 366204, SAN JUAN, PR 00936-6204
(787) 751-7010
(787) 754-3238

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7190
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0028911
AUXILIO PLATINO ID
PR
01
1913
PREF MEDICARE CHOICE ID
PR
01
213127
PREFERRED HEALTH ID
PR
01
28911
TRIPLE S INS ID
PR
01
67973
CRUZ AZUL INS ID
PR
01
9360087
HUMANA INS ID
PR
01
PE 2358
PALIC INS ID
PR
Enumeration date
03/05/2007
Last updated
07/09/2007
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