Individual
MISS MIRIAM NOELIA ALICEA-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CALLE MUNOZ MARIN, ESQ MIGUEL CASILLAS #50, HUMACAO, PR 00791
(787) 850-7950
(787) 285-8026
Mailing address
PO BOX 9001, HUMACAO, PR 00792-9001
(787) 850-7950
(787) 285-8026
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
6476
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06998DM9
LOCAL NARCOTIC LICENSE
PR
01
—
6476
MEDICAL LICENSE
PR
01
—
AA3232446
FED NARCOTIC LICENSE
—
Enumeration date
09/13/2006
Last updated
07/08/2007
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