Individual
MAYRA I SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
196 CALLE JUAN P DUARTE, FIRST FLOOR, SAN JUAN, PR 00917-3611
(787) 759-6909
Mailing address
CALLE 4 C 23, SANTA RITA, VEGA ALTA, PR 00692
(787) 376-8706
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1028
PR
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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