Individual
MISS IRAIDA CRUZ PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
1715 AVE PONCE DE LEON, NUTRITION DEPARTMENT, SAN JUAN, PR 00929-1958
(787) 758-2000
Mailing address
LOS FILTROS #300 BOULEVARD DEL RIO I, APT 10227, GUAYNABO, PR 00971
(787) 607-9696
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1347
PR
Other
Enumeration date
08/11/2008
Last updated
11/10/2021
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