Individual
GLORIA M MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
CARRETERA 693 KM 14.2, VEGA ALTA, PR 00692
(787) 270-2686
(787) 270-5292
Mailing address
PO BOX 468, VEGA BAJA, PR 00694-0468
(787) 270-2686
(787) 270-5292
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
494
PR
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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