JOSE ANTONIO MIRO CEBALLOS

SAN JUAN, PR
NPI1720203813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: PR  6979)
Enumeration Date2007-04-16
Last Update Date2007-07-09
Business Address
-- JOSE ANTONIO MIRO CEBALLOS M.D.
1003 CALLE ACAPULCO
SAN JUAN, PR 00920-4054
Phone number: 787-749-0849
Mailing Address
-- JOSE ANTONIO MIRO CEBALLOS M.D.
PO BOX 367056
SAN JUAN, PR 00936-7056
Phone number: 787-749-0849