Individual
CORALIS FERNANDEZ SEMIDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
392 CALLE RAMON E BETANCES SUR, MAYAGUEZ, PR 00681
(787) 805-2900
Mailing address
PO BOX 190, MAYAGUEZ, PR 00681-0190
(787) 831-5800
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1552
PR
Other
Enumeration date
06/20/2014
Last updated
07/25/2019
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