Individual
RITA O RIVERA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE JOSE C VAZQUEZ 62, AIBONITO, PR 00705
(787) 325-7095
(787) 735-7613
Mailing address
P O BOX 734, AIBONITO, PR 00705
(787) 325-7095
(787) 735-7613
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1812061
PR
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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