Provider Demographics
NPI:1942224159
Name:CREALES, MIGUEL H (MD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:H
Last Name:CREALES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3181 CALLE MARBELLA
Mailing Address - Street 2:URB EL MONTE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4809
Mailing Address - Country:US
Mailing Address - Phone:787-841-8855
Mailing Address - Fax:787-841-8855
Practice Address - Street 1:92 CALLE SOL
Practice Address - Street 2:ESQUINA TORRES
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3669
Practice Address - Country:US
Practice Address - Phone:787-841-8855
Practice Address - Fax:787-841-8855
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2013-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR114952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR222142OtherPREFERRED HEALTH
PR660651255OtherFIRST PLUS
PR660651255OtherMAPFRE
PR2179OtherAPS - HUMANA
PR89315 CROtherTRIPLE S
PR04180OtherAMERICAN HEALTH
PR1697OtherAPS - MMM
PR474028OtherFHC
PR100983OtherCRUZ AZUL DE PR
PR9480OtherFIRST MEDICAL CARD
PR474028OtherFHC
PR89315 CROtherTRIPLE S