All Medicaid billing entities listing MIRANDA, ILIANETTE (PIC) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Puerto Rico | 1 | $24K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FARMACIA SAGRADO, INC. | SABANA GRANDE, PR | Compounding Pharmacy | $24K |