Healthcare Provider Details

I. General information

NPI: 1881291540
Provider Name (Legal Business Name): VALERIA LOZADA MIRANDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE J ESQUINA CALLE B EDIF. MEDICO HERMANAS DAVILA OFICINA 204
SAN JUAN PR
00959-5046
US

IV. Provider business mailing address

CALLE J ESQUINA CALLE B EDIF. MEDICO HERMANAS DAVILA OFICINA 204
SAN JUAN PR
00959-5046
US

V. Phone/Fax

Practice location:
  • Phone: 787-780-3893
  • Fax:
Mailing address:
  • Phone: 787-780-3893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number23732
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: