Organization
CARMEN DIAZ
Active
Other names
MIRAMAR MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN DIAZ (OWNER)
(787) 723-2529
Entity
Organization
Contact information
Practice address
AVE. FERNANDEZ JUNCOS #1423, SANTURCE, PR 00909-2696
(787) 723-2529
(787) 721-3909
Mailing address
PMB 17 UU1 CALLE 39, URB. SANTA JUANITA, BAYAMON, PR 00956-4793
(787) 723-2529
(787) 721-3903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
07/08/2009
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