Individual
NORKA IRIS GARCIA AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1492 AVE PONCE DE LEON, EDIFICIO CENTRO EUROPA 717, SAN JUAN, PR 00907
(787) 723-5017
(787) 723-5015
Mailing address
PO BOX 3133, BAYAMON, PR 00960-3133
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2117
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117
PROFESSIONAL LICENSE
PR
Enumeration date
11/15/2021
Last updated
12/06/2021
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