Doctor Name: | BETZAIDA GARCIA |
NPI Number: | 1043580327 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LND, DE, MA |
License Number: | 1099 |
Business Practice Address: | Medical Emporium 351 Avenida Hostos Suite 202 Mayaguez, PR - 00680 |
Business Phone Number: | 7878055610 |
Business Fax Number: | 7878055670 |
Mailing Address: | Medical Emporium 351 Avenida Hostos, Suite 202 MAYAGUEZ |
State: | PUERTO RICO |
Postal Code: | 00680 |
Phone Number: | 7878055610 |
Fax Number: | 7878055670 |
NPI Enumeration Date: | 01/04/2012 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 1099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |