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Individual

MS. VIRGINIA ISA RIVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHSN, LND

Contact information

Practice address
CARRETERA 112 KM. 3.3, 7468 A, ISABELA, PR 00662
(787) 319-2152
Mailing address
BARRIO MAMEY CARRETERA 4417 RAMAL 4418 KM. 0.1, AGUADA, PR 00602-0000
(787) 319-2152

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1650
PR

Other

Enumeration date
01/10/2012
Last updated
01/10/2012
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