Individual
AWILDA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,MPH
Contact information
Practice address
5 AVE LAS MANSIONES, SAN JUAN, PR 00924-4586
(787) 641-7582
Mailing address
5 AVE LAS MANSIONES, SAN JUAN, PR 00924-4586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
404217
PR
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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