Individual
MR. ELIONEXIS MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT-P
Contact information
Practice address
414 KM 2.8 RIO GRANDE RINCON, RINCON, PR 00677
(817) 933-5582
Mailing address
RIO GRANDE RINCON, HC 02 BOX 23330, SAN SEBASTIAN, PUERTO RICO 00685
(787) 933-5582
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
EMT-P 2018
PR
Other
Enumeration date
08/14/2009
Last updated
11/23/2015
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