Doctor Name: | ELIZABETH RUIZ FELICIANO |
NPI Number: | 1063663409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DIETISTA |
License Number: | 642 |
Business Practice Address: | 4027 Calle Majestad Urbanizacion Montebello Hormigueros, PR - 006601271 |
Business Phone Number: | 7872239517 |
Business Fax Number: | 7878493055 |
Mailing Address: | 4027 Calle Majestad, Urbanizacion Montebello HORMIGUEROS |
State: | PR |
Postal Code: | 006601271 |
Phone Number: | 7872239517 |
Fax Number: | 7878493055 |
NPI Enumeration Date: | 10/03/2008 |
NPI Last Update Date: | 10/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |