Individual
ADELAIDA M MIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12720 SW 70TH LN, MIAMI, FL 33183-2453
(206) 465-8652
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00038357
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00038357
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD039831L
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD168660
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME65347
FL
207RP1001X
Pulmonary Disease Physician
ME65347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8355158
—
WA
Enumeration date
06/17/2006
Last updated
03/15/2021
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