Individual
MR. JUAN BAUTISTA RIVERA DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.N.D.
Contact information
Practice address
SAN ISIDRO CALLE CALIXTO CARRERA, #73, SABANA GRANDE, PR 00637-2029
(787) 643-0494
Mailing address
URB. SAN ISIDRO CALLE CALIXTO CARRERA, #73, SABANA GRANDE, PR 00637-2029
(787) 643-0494
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
1385
PR
133V00000X
Registered Dietitian
Primary
1385
PR
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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