NPI 1003250630

Omar Alexis Miranda, LND

Practitioner Registered Dietitian San Juan, PR

Practice location

Address: Street 1 B-12 Urb. Colinas Verdes, San Juan, PR 00924-5311
Phone: (787) 752-3928
Mailing address: Street 1 B-12 Urb. Colinas Verdes, San Juan, PR 00924

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1843 (PR)

Other Dietitian, Registered providers in Puerto Rico →

Registry record

NPI: 1003250630
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2013
Record last updated: 26 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.