Individual
MRS. NITZA ENID PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
1715 AVE PONCE DE LEON, NUTRITION DEPT., SAN JUAN, PR 00909-1958
(787) 758-2000
(787) 771-7951
Mailing address
60024 CALLE BUCARE, URB BOSQUE DORADO, DORADO, PR 00646-9671
(787) 638-4445
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
1001
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001
LND
PR
Enumeration date
12/17/2007
Last updated
12/17/2007
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