Individual
JOSERIS N MORALES IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
359 AVE HOSTOS SUITE 201, OFFICE PARK 4 A, MAYAGUEZ, PR 00680-1507
(787) 710-2532
Mailing address
PO BOX 51502, TOA BAJA, PR 00950-1502
(787) 710-2532
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2085
PR
133V00000X
Registered Dietitian
2085
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2085
OFFICE OF REGULATION AND CERTIFICATION OF HEALTH PROFESSIONALS
PR
01
—
86054785
ACADEMY OF NUTRITION AND DIETETICS
—
Enumeration date
03/27/2019
Last updated
03/27/2019
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