Active NPIIndividual providerSole proprietor

Dr. Mirna S Amaro Medina, MD

Pediatrics in San Juan, Puerto Rico

NPI Number1780714873
Practice location
893 Calle Eider, San Juan, PR 00924-2371
Fax
787-768-6996
Last updated
September 2, 2020

Mirna Socorro Amaro Medina is a Pediatrics based in San Juan, PR. Mirna Socorro Amaro Medina practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Mirna Socorro Amaro Medina is 1780714873 and holds a License No. 10297 (PR). The current practice location address for Mirna Socorro Amaro Medina is 893 Calle Eider, San Juan, PR 00924-2371 and can be reached out via phone at 787-768-6996 and via fax at 787-768-6996.

Provider Profile Details

NPI Number
1780714873
Provider Name
Mirna Socorro Amaro Medina
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
893 Calle Eider, San Juan, PR 00924-2371
Phone Number
787-768-6996
Fax Number
787-768-6996
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
March 7, 2007
Last Update Date
September 2, 2020
Certification Date
September 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
893 Calle Eider
San Juan, PR 00924-2371
Zip
00924-2371
Phone Number
787-768-6996
Fax Number
787-768-6996
San Juan, PR 00924Get directions →

Provider Business Mailing Address Details

Address
Po Box 29454
65TH Infantry Station
San Juan, PR 00929-0454
City
San Juan
State
PR
Zip
00929-0454
Phone Number
787-768-6996
Fax Number
787-768-6996

License Information

License Number (1)
10297
License State (1)
PR
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
10297
License State (2)
PR
Taxonomy (2)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mirna S Amaro Medina, MD?

The NPI number of Dr. Mirna S Amaro Medina, MD is 1780714873. It was assigned on March 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mirna S Amaro Medina, MD?

Dr. Mirna S Amaro Medina, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in PR under license number 10297.

Where does Dr. Mirna S Amaro Medina, MD practice?

The practice location is 893 Calle Eider, San Juan, PR 00924-2371. The office can be reached at 787-768-6996 (phone) or 787-768-6996 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780714873 directly on the NPPES registry website.

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