Individual
EDWILL BURGOS-VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDO
Contact information
Practice address
2 CALLE SEGUNDO BERNIER, COAMO, PR 00769-3036
(787) 803-8221
(787) 537-7071
Mailing address
PO BOX 83, SANTA ISABEL, PR 00757
(787) 242-6225
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1897
PR
Other
Enumeration date
01/28/2015
Last updated
12/14/2021
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