Individual
DR. ANGEL J MIRO-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
369 DE DIEGO AVE, TORRE SAN FRANCISCO SUITE 507, SAN JUAN, PR 00923
(787) 282-3000
(787) 767-2272
Mailing address
PO BOX 29586, SAN JUAN, PR 00929-0586
(787) 282-3000
(787) 282-3080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9630
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2723
PREFERRED MEDICARE CHOICE
PR
01
—
29639
MCS
PR
01
—
81914
TRIPLE-S
PR
01
—
9250092
HUMANA
PR
01
—
991746
MMM
PR
Enumeration date
02/24/2006
Last updated
06/27/2013
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