Provider Demographics
NPI:1992259659
Name:JOY GROUP CORPORATION
Entity type:Organization
Organization Name:JOY GROUP CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MIRELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA GALLOZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-431-1741
Mailing Address - Street 1:HC 3 BOX 31531
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9757
Mailing Address - Country:US
Mailing Address - Phone:787-238-2923
Mailing Address - Fax:
Practice Address - Street 1:550 CALLE CONCEPCION VERA
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-5005
Practice Address - Country:US
Practice Address - Phone:787-877-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16589207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty