Individual provider · Type 1 NPI
Carmen Miranda
Addiction (Substance Use Disorder) Counselor · San Juan, PR
NPI number
1134519010
Active
Practice location
RR 2 Box 11
San Juan, PR 00926-9767
Fax (787) 760-2944
Mailing address
12 Calle Cascada
Guaynabo, PR 00969-3610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5633 (PR) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1134519010
Carmen Miranda's National Provider Identifier is 1134519010, issued on Jan 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Juan, PR. The record was last updated on Jan 29, 2015.