MR. Omar Alexis Miranda, LND
NPI #1003250630 in San Juan, Puerto Rico
Provider Information
- NPI Number
- 1003250630
- Entity Type
- Individual
- Name
- MR. Omar Alexis Miranda, LND
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- LND
- Enumeration Date
- Apr 25, 2013
- Last Updated
- Jun 26, 2015
Practice Location
- Address
- STREET 1 B-12
- Address 2
- URB. COLINAS VERDES
- City
- San Juan
- State
- Puerto Rico
- ZIP Code
- 00924-5311
- Phone
- (787) 752-3928
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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