Organization
NUTRE-VIDA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA VELEZ ZAYAS (PRESIDENT)
(787) 487-9142
Entity
Organization
Contact information
Practice address
CARRETERA 891 KM 0.1 SUITE 1 VILLA ORO PLAZA, COROZAL, PR 00783
(787) 617-8141
Mailing address
PO BOX 1061, BARRANQUITAS, PR 00794-1061
(787) 487-9142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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