Miro Medina, Dana

Miro Medina, Dana is an sole proprietor health care provider with primary practice located at 100 Carr. 165 Torre 1 Suite C-107 Centro Internacional De Mercadeo, Guaynabo PR 00968. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Miro Medina, Dana can be contacted via phone (787) 999-5400.

Contact Information

Primary practice address
100 Carr. 165 Torre 1 Suite C-107 Centro Internacional De Mercadeo Guaynabo PR 00968
Phone: (787) 999-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1659697944
LBN Legal business name Miro Medina, Dana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2010
Last updated Jul 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659697944 NPPES
Other 1558 LICENSE

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