# INTERVENCION NUTRICIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003789355
- **Authorized official:** DOELYS HERNANDEZ LND (PRESIDENT)
- **Authorized official phone:** (787) 308-1100

## Contact information

- **Practice address:** 359 CALLE SAN CLAUDIO, SUITE 205 CUPEY PROFESIONAL MALL, SAN JUAN, PR 00926-9907
- **Practice address phone:** (787) 308-1100
- **Mailing address:** HC 5 BOX 5373, GUAYNABO, PR 00971
- **Mailing address phone:** (787) 308-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2025
- **Last updated:** 09/24/2025