Omar Alexis Miranda LND

NPI 1003250630 - Nutritionist - 133N00000X

NPI Details
NPI 1003250630
Gender Male
Enumeration Date 04/25/2013
Last Updated 06/26/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
STREET 1 B-12
URB. COLINAS VERDES
SAN JUAN PR, 00924-5311, US
Phone (787) 752-3928
Fax
Business Location
STREET 1 B-12
URB. COLINAS VERDES
SAN JUAN PR, 00924, US
Phone (787) 752-3928
Fax
Toxanomy
Taxonomy Code 133N00000X
License State Puerto Rico
License Number 001055
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According to our database, Mr. Omar Alexis Miranda LND NPI is 1003250630, taxonomy code is 133N00000X and license number is 001055, license state is located at Puerto Rico. Omar Alexis Miranda LND physically located at Street 1 B-12, San Juan PR, 00924-5311. NPI Number Omar Alexis Miranda LND has the Individual type.

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1003250630 NPI number is provided on an as is basis without warranty of any kind. 1003250630 is maintained by the National Plan & Provider Enumeration System. The contents of Omar Alexis Miranda LND are for informational purposes only.