Individual
ELIA ROXANA FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
AVE HOSTOS 770, MAYAGUEZ, PR 00680-0000
(787) 834-6161
Mailing address
PO BOX 1750, MAYAGUEZ, PR 00681-1750
(787) 834-6000
(787) 831-6315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001379
PR
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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