# CLINICA DE NUTRICION DEL SUR LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1306615091
- **Authorized official:** EDWILL BURGOS (LIC)
- **Authorized official phone:** (787) 242-6225

## Contact information

- **Practice address:** CALLE SEGUNDO BERNIER, COAMO, PR 00769
- **Practice address phone:** (787) 803-8221
- **Mailing address:** PO BOX 83, SANTA ISABEL, PR 00757-0083
- **Mailing address phone:** (787) 226-1176

## Taxonomy

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

## Other

- **Enumeration date:** 12/22/2023
- **Last updated:** 12/28/2023