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1376630202
JORGE R DE JESUS MIRANDA
SAN JUAN, PR
NPI
1376630202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: PR 6045)
Enumeration Date
2006-10-10
Last Update Date
2019-04-25
Business Address
Dr. JORGE R DE JESUS MIRANDA MD
572 CALLE DE DIEGO SABANA LLANA
SAN JUAN, PR 00924-3815
Phone number: 787-754-9586
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Mailing Address
Dr. JORGE R DE JESUS MIRANDA MD
12 CALLE 1 EXT. ALTURAS DE SAN PATRICIO
GUAYNABO, PR 00968-3128
Phone number: 787-754-9586
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