Individual
KARLA MIRANDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
140 AVE LAS CUMBRES STE 106, GUAYNABO, PR 00969-5525
(787) 710-2532
Mailing address
URB SANTA ELVIRA, D16 CALLE SANTA CLARA, CAGUAS, PR 00725
(939) 244-1559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2049
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71748
PR BOARD OF NUTRITIONIST
PR
Enumeration date
03/16/2018
Last updated
03/16/2018
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