Organization
MIND AND BODY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA MIRANDA LOPEZ M.D. (PSYCHIATRY)
(787) 642-6816
Entity
Organization
Contact information
Practice address
I CENTRO INTERNACIONAL DE MERCADEO, SUITE 311, GUAYNABO, PR 00969
(787) 224-9188
(939) 437-4302
Mailing address
576 AVE ARTERIAL B, COLISEUM TOWER APT 2109, SAN JUAN, PR 00918
(787) 642-6816
(939) 437-4302
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
18775
PR
2084P0800X
Psychiatry Physician
18775
PR
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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