Montalvan Miro Dermatology, LLC

NPI #1659785632 in Dorado, Puerto Rico

Provider Information

NPI Number: 1659785632
Entity Type: Organization
Organization Name: Montalvan Miro Dermatology, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jun 17, 2014
Last Updated: Jun 17, 2014

Practice Location

Address: CARR 693 ESQUINA AVE. JOSE EFRON
Address 2: DOCTORS HEALTH CENTER DORADO CLINIC #24 PLAZA DORADA
City: Dorado
State: Puerto Rico
ZIP Code: 00646-4810
Phone: (787) 621-3322

Authorized Official

Name: DR. ELENA M MONTALVAN MIRO, M.D.
Title: PRESIDENT
Phone: (787) 403-5401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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