Individual
MISS DARLY IVETTE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 CALLE ROOSEVELT, APTO.102, SAN JUAN, PR 00907-3449
(787) 562-0953
Mailing address
PO BOX 510, LAS PIEDRAS, PR 00771-0510
(787) 562-0953
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1674
PR
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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