Individual
MISS NICOLE MARIE RIVERA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LND
Contact information
Practice address
715 AVENIDA PONCE DE LEON, NUTRITION DEPT, HATO REY, PR 00909-1958
(787) 758-2000
Mailing address
PO BOX 191227, SAN JUAN, PR 00919-1227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2077
PR
133V00000X
Registered Dietitian
86069514
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2077
DIETITIAN'S LICENCE
PR
01
—
86069514
REGISTERED DIETITAN NUTRITIONIST
PR
Enumeration date
01/22/2019
Last updated
07/08/2020
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