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1720203813
JOSE ANTONIO MIRO CEBALLOS
SAN JUAN, PR
NPI
1720203813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 6979)
Enumeration Date
2007-04-16
Last Update Date
2007-07-09
Business Address
-- JOSE ANTONIO MIRO CEBALLOS M.D.
1003 CALLE ACAPULCO
SAN JUAN, PR 00920-4054
Phone number: 787-749-0849
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Mailing Address
-- JOSE ANTONIO MIRO CEBALLOS M.D.
PO BOX 367056
SAN JUAN, PR 00936-7056
Phone number: 787-749-0849
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