Organization
EDP T CUIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS T NIEVES VAZQUEZ (PRESIDENT)
(787) 765-3560
Entity
Organization
Contact information
Practice address
49 CALLE BETANCES, SAN SEBASTIAN, PR 00685-2210
(787) 765-3560
Mailing address
PO BOX 192303, SAN JUAN, PR 00919-2303
(787) 765-3560
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
208D00000X
General Practice Physician
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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