Individual
MRS. GISELA MARIE MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LND
Contact information
Practice address
CARR. 411 KM 2.2 INT. JAGEY, AGUADA, PR 00602
(787) 362-8219
Mailing address
HC 60 BOX 29240-2, AGUADA, PR 00602-9232
(787) 362-8219
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86109878
PR
Other
Enumeration date
03/04/2021
Last updated
07/21/2022
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