Individual
SHADIA MARIA MORALES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
AUXILIO MUTUO HOSPITAL, AVE. PONCE DE LEON 715, NUTRITION DEPARTMENT, SAN JUAN, PR 00919-1227
(787) 758-2000
Mailing address
PO BOX 191227, SAN JUAN, PR 00919-1227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86291512
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140
LND
PR
01
—
86291512
RDN
PR
Enumeration date
10/16/2020
Last updated
10/19/2020
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