Individual
MISS GLADIBELIS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
241 AVE WINSTON CHURCHILL, APT. H-301, COND. CHURCHILL PARK, BOX.77, SAN JUAN, PR 00926-6627
(787) 487-7220
Mailing address
241 AVE WINSTON CHURCHILL, APT. H-301, COND. CHURCHILL PARK, BOX.77, SAN JUAN, PR 00926-6627
(787) 487-7220
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1527
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1527
DIETITIAN LICENSE
PR
Enumeration date
11/16/2010
Last updated
11/16/2010
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