Individual
MIRTA YARIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
STREET VIA CUMBRES H-8 LA VISTA, SAN JUAN, PR 00924
(787) 276-1541
Mailing address
STREET VIA CUMBRES H-8 LA VISTA, SAN JUAN, PR 00924
(787) 276-1541
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1281
PR
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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