Cecilia Joselina Mir, M.D.
Family Medicine in San Juan, PR. Individual provider (NPI-1).
NPI number1619085826
StatusActive
Last updated in NPPESOct 4, 2024
Details
- NPI
- 1619085826
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cecilia Joselina Mir
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2006
- Certification date
- Oct 4, 2024
- Last updated
- Oct 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10,164 | PR | Yes |
Practice location
Fd Roosevelt Avenue#1441
San Juan, PR 00920
Phone 787-793-8383 · Fax 787-774-4839
Mailing address
2070 St. 1 Box 405Los Frailes Gardens
Guynabo, PR 00966-3508
Phone 787-781-3409
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