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Organization

MENNONITE DIABETES FOUNDATION INC

Active
Other names
NA
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIRIAM AIXA QUINONES (EXECUTIVE DIRECTOR)
(787) 535-1001
Entity
Organization

Contact information

Practice address
DOMINGO TORRES BLDG, SUITE 306, CAYEY, PR 00737
(787) 535-1001
(787) 535-1059
Mailing address
PO BOX 373130, CAYEY, PR 00737-3130
(787) 535-1001
(787) 535-1059

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
PR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
PR

Other

Enumeration date
06/09/2008
Last updated
06/19/2008
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