Individual
MIREYA BAEZ-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 129 KM 0.1 AVE SAN LUIS, DR. SUSONI HEALTH COMMUNITY SERVICE, CORP., ARECIBO, PR 00612
(787) 650-7272
(787) 650-7248
Mailing address
CARR 129 KM 0.1 AVE SAN LUIS, DR. SUSONI HEALTH COMMUNITY SERVICE, CORP., ARECIBO, PR 00612
(787) 650-7272
(787) 650-7248
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1297
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1297
PROFESSIONAL LICENSE
PR
Enumeration date
02/19/2016
Last updated
02/19/2016
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