Doctor Name: | EDNA DE LATORRE |
NPI Number: | 1043666340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LND |
License Number: | 1009 |
Business Practice Address: | 350 Via Aventura Apt 7710 Condominio Aventura Trujillo Alto, PR - 009766191 |
Business Phone Number: | 6188031818 |
Business Fax Number: | |
Mailing Address: | 350 Via Aventura Apt 7710, Cond Aventura TRUJILLO ALTO |
State: | PR |
Postal Code: | 009766191 |
Phone Number: | 6188031818 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2016 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |