Individual
ISAMARYS ACEVEDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
CARR 493 KM 0.5, MEDICAL AND PROFESSIONAL OFFICE PLAZA SUITE 124, HATILLO, PR 00659
(787) 544-4777
Mailing address
HC 2 BOX 4757, SABANA HOYOS, PR 00688-9535
(787) 387-5655
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1982
PR
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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