Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 10378 | PR |
NPI | 1548221807 |
---|---|
Provider Name | Dr. Miriam Renee Mirabal-Cordero |
First Address | San Juan, PR 00912-3359 |
Second Address | Guaynabo, PR 00969-5331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 08/07/2007 |