Organization
LAVITA WELLNESS LLC
Active
Other names
LAVITA WELLNESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARGGIE RODRIGUEZ (ADMINSTRATOR)
(939) 271-4978
Entity
Organization
Contact information
Practice address
CARR #2 KM 160.9 BO GUANAJIBO LOCAL 4, HORMIGUEROS, PR 00660
(787) 827-9090
(787) 827-9595
Mailing address
182 SOUTH RAMON EMETERIO BETANCES, MAYAGUEZ, PR 00680
(787) 827-9090
(787) 827-9595
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
202D00000X
Integrative Medicine Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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