DR. MYRIAM AMARO DE JESUS MD

Allergy and Immunology

San Juan, Puerto Rico

Provider NPI: 1053394734

Provider Information:
DR. MYRIAM  AMARO DE JESUS MD


Practice Location:
783 CALLE GUATEMALA URB LAS AMERICAS SAN JUAN, PR 00921 US
Tel: 787-281-6266  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	PR	12744

Other Provider Identifiers:

Issuer	Number	State	Type
LICENCIA	12744	PR	01
DEA	BA58652627	PR	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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