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Organization
CLINICA DE NUTRICION DEL SUR LLC
Active
Organization
CLINICA DE NUTRICION DEL SUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWILL BURGOS (LIC)
(787) 242-6225
Entity
Organization
Contact information
Practice address
CALLE SEGUNDO BERNIER, COAMO, PR 00769
(787) 803-8221
Mailing address
PO BOX 83, SANTA ISABEL, PR 00757-0083
(787) 226-1176
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/28/2023
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