Individual
MAXIMINO MIRANDA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE ANDRES ARUZ #166, GURABO, PR 00778
(787) 737-6441
(787) 737-1280
Mailing address
PO BOX 1262, GURABO, PR 00778
(787) 737-6441
(787) 737-1280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6857
PR
Other
Enumeration date
11/04/2005
Last updated
04/20/2017
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