Individual
GERALDINE MAYO ALBURQUERQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
715 AVE PONCE DE LEON, NUTRITION DEPARTMENT, HATO REY, PR 00917-5032
(787) 758-2000
Mailing address
112 CALLE RUBICON, SAN JUAN, PR 00926-3216
(787) 410-8794
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1861
PR
133V00000X
Registered Dietitian
86046423
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861
DIETITIAN LICENSE
PR
01
—
86046423
RDN-DIETITIAN LICENSE
PR
Enumeration date
10/02/2014
Last updated
06/08/2023
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