Organization
LONGEVITY NUTRITION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA G PEREZ RODRIGUEZ (PRESIDENT)
(787) 235-7013
Entity
Organization
Contact information
Practice address
13B CALLE BALDORIOTY, YAUCO, PR 00698-3654
(787) 235-7013
Mailing address
VEREDAS DE YAUCO CALLE RAMAL 307, YAUCO, PR 00698-0000
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
02/15/2024
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