Individual
DR. MIRNA SOCORRO AMARO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
893 CALLE EIDER, SAN JUAN, PR 00924-2371
(787) 768-6996
(787) 768-6996
Mailing address
PO BOX 29454, 65TH INFANTRY STATION, SAN JUAN, PR 00929-0454
(787) 768-6996
(787) 768-6996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10297
PR
208D00000X
General Practice Physician
10297
PR
Other
Enumeration date
03/07/2007
Last updated
09/02/2020
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