Individual
ANGELYS SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE PONCE DE LEON # 715, NUTRITION DEPT., SAN JUAN, PR 00907-3907
(787) 758-2000
(787) 771-7951
Mailing address
AVE PONCE DE LEON # 715, NUTRITION DEPT., SAN JUAN, PR 00907-3907
(787) 758-2000
(787) 771-7951
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
1925
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1925
DIETICIAN'S LICENSE
PR
Enumeration date
05/01/2015
Last updated
05/01/2015
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