NPI: 1083964357 · SAN JUAN, PR 00919 · Nephrology Physician · NPI assigned 09/14/2012
| Authorized Official | MIRANDA TIRADO, GLENDA (PRESIDENT) |
| NPI Enumeration Date | 09/14/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 50 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99233 | Prolong inpt eval add15 m | 50 | 25 | $4K |