Individual
PAOLA NICOLE MONTALVO MIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, FAAP,
Contact information
Practice address
CARRETERA 22 BARRIO MONACILLOS, HOSPITAL PEDIATRICO UNIVERSITARIO, SAN JUAN, PR 00919
(787) 777-3232
Mailing address
HC 10 BOX 8496, SABANA GRANDE, PR 00637-9772
(787) 659-3846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
22518
PR
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
22518
PR
390200000X
Student in an Organized Health Care Education/Training Program
14764
PR
Other
Enumeration date
07/23/2018
Last updated
02/19/2025
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