Individual
LORENI RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 AVE PONCE DE LEON, NUTRITION DEPT, HATO REY, PR 00917-5032
(787) 758-2000
Mailing address
RD 30 URB ENCANTADA RIO CRISTAL, TRUJILLO ALTO, PR 00976
(787) 410-8824
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1870
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1870
DIETITIAN LICENSE
PR
Enumeration date
10/08/2014
Last updated
10/08/2014
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