CRYSTAL MARIE MIRANDA
Individual Provider (NPI-1)
Active
General Practice
Provider Information
- NPI Number
1801719851- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 129 CAM TRINITARIAS URB SABANERA, CIDRA, PR, 00739
- Phone
- (787) 586-0654
Specialties & Taxonomies
General Practice
Primary License: PR #6013726
All Addresses
MAILING
129 CAM TRINITARIAS URB SABANERA
CIDRA, PR, 00739