Individual
ANSELMO MIRANDA MARTIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 CALLE SANTA CRUZ, SUITE 408 INSTITUTO SAN PABLO, BAYAMON, PR 00961-7041
(787) 740-6450
(787) 780-9059
Mailing address
66 CALLE SANTA CRUZ, SUITE 408 INSTITUTO SAN PABLO, BAYAMON, PR 00961-7041
(787) 740-6450
(787) 780-9059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7352
PR
Other
Enumeration date
02/05/2007
Last updated
02/17/2012
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