Individual
SHEILA DAMARIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
AEROPUERTO ANTONIO JUARBE SUITE #1, CARR2 BO. SANTANA, ARECIBO, PR 00612
(787) 878-2310
Mailing address
HC 1 BOX 5840, MOCA, PR 00676-9610
(787) 877-0558
(787) 931-9019
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1449
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1449
LICENCIA PR
PR
Enumeration date
11/25/2008
Last updated
11/25/2008
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