Most Relevant Information
Provider Data
| NPI Number: | 1003445750 |
| Provider Name: | MIRANDA KAY BERGER NORDELO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2020 |
| Last Updated: | 04/05/2020 |
Provider Practice Location
58-3 CALLE 50
URB SIERRA BAYAMON
BAYAMON
PR
00961
Practice Location Phone/Fax
| Phone: | 7879817695 |
| Fax: |
Provider Mailing Location
58-3 CALLE 50
URB SIERRA BAYAMON
BAYAMON
PR
00961
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |