# CENTRO DE NUTRICION VILLA LOS SANTOS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CDT Villa Los Santos
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477785954
- **Authorized official:** MRS. MARIA J GONZALEZ M.D. (ADMINISTRADORA)
- **Authorized official phone:** (787) 817-3144

## Contact information

- **Practice address:** V1 CALLE 16, URB VILLA LOS SANTOS, ARECIBO, PR 00612-3112
- **Practice address phone:** (787) 879-1585
- **Practice address fax:** (787) 879-4315
- **Mailing address:** V1 CALLE 16, URB VILLA LOS SANTOS, ARECIBO, PR 00612-3112
- **Mailing address phone:** (787) 879-1585
- **Mailing address fax:** (787) 880-1143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | 115 | PR | Yes |

## Other

- **Enumeration date:** 08/17/2009
- **Last updated:** 08/17/2009