Individual
MISS MIRIAM YAZMIN PAGAN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
PONCE HEALTH SCIENCES UNIVERSITY, INDUSTRIAL REPARADA CALLE 10 G 6, PONCE, PR 00716
(787) 204-0724
Mailing address
URB.EXT. JARDINES DE COAMO CALLE -10 G-6, COAMO, P.R. 00769
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1503
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4119508
—
PR
Enumeration date
06/12/2009
Last updated
03/12/2023
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