Organization
IC NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILCA JEANNETTE CRUZ SANTIAGO LND (OWNER)
(787) 616-9858
Entity
Organization
Contact information
Practice address
A3 AVE MIGUEL MELENDEZ MUNOZ, CAYEY, PR 00736
(787) 903-8020
Mailing address
URB MIRADOR UNIVERSITARIO, CALLE 22 B13, CAYEY, PR 00736
(787) 616-9858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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