| Dr. Angel Miro Diaz, PSC | |
|
369 Calle De Diego Torre San Francisco Suite 507 San Juan PR 00923-3003 | |
| (787) 282-3000 | |
| (787) 282-3080 |
| Full Name | Dr. Angel Miro Diaz, PSC |
|---|---|
| Speciality | Internal Medicine |
| Location | 369 Calle De Diego, San Juan, Puerto Rico |
| Authorized Official Name and Position | Angel J Miro (PRESIDENTE) |
| Authorized Official Contact | 7872823000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Angel Miro Diaz, PSC Po Box 29586 San Juan PR 00929-0586 Ph: (787) 282-3000 | Dr. Angel Miro Diaz, PSC 369 Calle De Diego Torre San Francisco Suite 507 San Juan PR 00923-3003 Ph: (787) 282-3000 |
| NPI Number | 1881013225 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 04/14/2014 |
| Medicare PECOS PAC ID | 3971825787 |
|---|---|
| Medicare Enrollment ID | O20141205001894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881013225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9630 (Puerto Rico) | Primary |
| Provider Name | Angel J Miro Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821064346 PECOS PAC ID: 7517143001 Enrollment ID: I20110518000204 |
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