Individual
MR. LUIS ENRIQUE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.R.C.
Contact information
Practice address
INDUSTRIAL MINILLAS 170, 63, PR-174, BAYAMON, PR 00959
(787) 993-0000
Mailing address
CONDADO MODERNO 1 C-17, CAGUAS, PR 00725-2420
(939) 239-3959
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
722
PR
101YP2500X
Professional Counselor
722
PR
225C00000X
Rehabilitation Counselor
Primary
722
PR
Other
Enumeration date
11/13/2014
Last updated
04/30/2024
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