Individual
IVELISA MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CALLE 2, AVENIDA BAIROA, CAGUAS, PR 00000-0725
(787) 605-3510
Mailing address
URB. BORINQUEN VALLEY C/ MARTILLO 219, CAGUAS, PUERTO RICO 00725
(787) 605-3510
(787) 727-5561
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1454
PR
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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