Provider Demographics
NPI:1689430597
Name:MIRANDA MALARET, PALOMA CRISTAL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PALOMA
Middle Name:CRISTAL
Last Name:MIRANDA MALARET
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB SAN RAFAEL
Mailing Address - Street 2:113
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612
Mailing Address - Country:US
Mailing Address - Phone:787-218-2476
Mailing Address - Fax:
Practice Address - Street 1:PQ26 AVE EL COMANDANTE
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2778
Practice Address - Country:US
Practice Address - Phone:787-752-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist