Organization
MC MEDICAL INSTITUTE,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA L MIRANDA (PRESIDENT)
(787) 299-8931
Entity
Organization
Contact information
Practice address
TORRE SAN PABLO STE 605, CALLE SANTA CRUZ, BAYAMON, PR 00961-7031
(787) 299-8931
Mailing address
PO BOX 1759, BAYAMON, PR 00960-1759
(787) 299-8931
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14533
PR
Other
Enumeration date
11/04/2007
Last updated
11/04/2007
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