OMAR ALEXIS MIRANDA

SAN JUAN, PR
NPI1003250630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: PR  1843)
Enumeration Date2013-04-25
Last Update Date2015-06-26
Business Address
Mr. OMAR ALEXIS MIRANDA LND
STREET 1 B-12 URB. COLINAS VERDES
SAN JUAN, PR 00924-5311
Phone number: 787-752-3928
Mailing Address
Mr. OMAR ALEXIS MIRANDA LND
STREET 1 B-12 URB. COLINAS VERDES
SAN JUAN, PR 00924
Phone number: 787-752-3928