Doctor Name: | DR. RAMON A SOLIVAN MIRANDA |
NPI Number: | 1124005632 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 8141 |
Business Practice Address: | 1 Calle Mario Braschi Coamo, PR - 007692501 |
Business Phone Number: | 7878251184 |
Business Fax Number: | 7878254381 |
Mailing Address: | Po Box 1866, COAMO |
State: | PR |
Postal Code: | 007691866 |
Phone Number: | 7878251184 |
Fax Number: | 7878254381 |
NPI Enumeration Date: | 12/27/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 8141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |