Provider Demographics
NPI:1548266968
Name:VERA-MIRO, JOSE LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LUIS
Last Name:VERA-MIRO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 AVE. SAN CRISTOBAL
Mailing Address - Street 2:207 TORRE SAN CRISTOBAL
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2847
Mailing Address - Country:US
Mailing Address - Phone:787-842-2073
Mailing Address - Fax:787-842-2071
Practice Address - Street 1:5 AVE. SAN CRISTOBAL
Practice Address - Street 2:207 TORRE SAN CRISTOBAL
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2847
Practice Address - Country:US
Practice Address - Phone:787-842-2073
Practice Address - Fax:787-842-2071
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9213207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease