Individual
MS. MARILIS MERCADO MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
CARR. 152 KM. 2.3 BO. QUEBRADILLAS, BARRANQUITAS, PR 00794
(787) 857-8383
(787) 857-4848
Mailing address
PO BOX 1184, AIBONITO, PR 00705-1184
(787) 318-5006
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1521
PR
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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