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Individual

MISS MARIA R VARELA-ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LND

Contact information

Practice address
196 CALLE JUAN P DUARTE, PRIMER PISO COND DUARTE, HATO REY, PR 00917-3611
(787) 759-6909
(787) 758-6972
Mailing address
401 AVE AMERICO MIRANDA, COOP LOS ROBLES APT 706-B, SAN JUAN, PR 00927-4632
(787) 758-6972
(787) 758-6972

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
869
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6500090
HUMANA
PR
Enumeration date
07/05/2007
Last updated
07/08/2007
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