Organization
COSSMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA IVELISSE MORALES LCDA. (NUTRITIONIST/DIETIST)
(787) 739-8182
Entity
Organization
Contact information
Practice address
MUOZ RIVERA #15, YABUCOA, PR 00767
(787) 893-3055
Mailing address
URB. LOS ANGELES D-5 STREET F, YABUCOA, PR 00767
(787) 266-3308
(787) 266-3308
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1402
PR
Other
Enumeration date
06/26/2006
Last updated
07/21/2022
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