| NPI | 1356488530 |
|---|---|
| Former Name | ALFONSO MIRANDA GARCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9200035) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-03-27 |