Doctor Name: | WANDA I. MIRANDA |
NPI Number: | 1023229044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1692 |
Business Practice Address: | Avenida Los Dominicos Calle 25 Miraflores Bayamon, PR - 00956 |
Business Phone Number: | 7876209615 |
Business Fax Number: | |
Mailing Address: | Hc 72 Box 3884, NARANJITO |
State: | PR |
Postal Code: | 007199807 |
Phone Number: | 7873268863 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 1692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |