Provider Demographics
NPI:1821289414
Name:MIRO, JOSE FRANCISCO (MD, FAAPMR)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:FRANCISCO
Last Name:MIRO
Suffix:
Gender:M
Credentials:MD, FAAPMR
Other - Prefix:
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Mailing Address - Street 1:PO BOX 367056
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-7056
Mailing Address - Country:US
Mailing Address - Phone:787-590-1932
Mailing Address - Fax:787-551-7316
Practice Address - Street 1:1003 CALLE ACAPULCO
Practice Address - Street 2:2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4054
Practice Address - Country:US
Practice Address - Phone:787-590-1932
Practice Address - Fax:787-551-7316
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16231208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation