Individual
MARISOL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
L10 CALLE 4, COLINAS DEL OESTE, HORMIGUEROS, PR 00660-1939
(787) 849-2179
(787) 849-2205
Mailing address
L10 CALLE 4, COLINAS DEL OESTE, HORMIGUEROS, PR 00660-1939
(787) 849-2179
(787) 849-2205
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
855
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660571184-6
MCS
PR
Enumeration date
08/13/2007
Last updated
08/13/2007
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