Individual
MR. JOSE D RIVERA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2431 AVE LAS AMERICAS, 306 EDIFICIO PORRATA PILA, PONCE, PR 00717-2113
(787) 841-0574
(787) 841-0574
Mailing address
2431 AVE LAS AMERICAS, 306 EDIFICIO PORRATA PILA, PONCE, PR 00717-2113
(787) 841-0574
(787) 841-0574
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
12341
PR
Other
Enumeration date
11/01/2006
Last updated
03/22/2013
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