Individual
MISS EMELY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
2213 PONCE BY PASS, PONCE, PR 00717-1318
(787) 840-8686
Mailing address
PO BOX 1475, COAMO, PR 00769-1475
(787) 415-0058
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1653
PR
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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