# MENNONITE DIABETES FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366601809
- **Authorized official:** MRS. MIRIAM AIXA QUINONES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 535-1001

## Contact information

- **Practice address:** DOMINGO TORRES BLDG, SUITE 306, CAYEY, PR 00737
- **Practice address phone:** (787) 535-1001
- **Practice address fax:** (787) 535-1059
- **Mailing address:** PO BOX 373130, CAYEY, PR 00737-3130
- **Mailing address phone:** (787) 535-1001
- **Mailing address fax:** (787) 535-1059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | PR | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | PR | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/19/2008