Individual
LIXAMARIE CAMACHO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
ISLA VERDE MALL 3ER PISO OFIC 218, AVE LOS GOBERNADORES ESQ CALLE DALIA, CAROLINA, PR 00979
(939) 332-3213
Mailing address
URB MONTE ALTO, 152 CALLE BRITTON, GURABO, PR 00778-4080
(787) 930-2274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2146
PR
Other
Enumeration date
09/21/2023
Last updated
09/22/2023
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