MEDICARE: DR. JOSE FRANCISCO MIRO MD, FAAPMR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	16231	PR

General Provider Information

NPI Number	:	1821289414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE FRANCISCO MIRO MD, FAAPMR

Provider Business Mailing Address
First Line	:	PO BOX 367056
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00936-7056
Country	:	US
Telephone Number	:	787-590-1932
Fax Number	:	787-551-7316

Provider Business Practice Location Address
First Line	:	1003 CALLE ACAPULCO
Second Line	:	2
City	:	SAN JUAN
State	:	PR
Zip	:	00920-4054
Country	:	US
Telephone Number	:	787-590-1932
Fax Number	:	787-551-7316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	10/15/2012

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