Individual
LUIS A DE JESUS MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
CALLE JOSE DE DIEGO #30, CIDRA, PR 00739
(787) 714-4550
(787) 714-4550
Mailing address
CALLE JOSE DE DIEGO #30, CIDRA, PR 00739
(787) 714-4550
(787) 714-4550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
304
PR
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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