| Doctor Name: | LILLIAN RODRIGUEZ |
| NPI Number: | 1235376765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LND, M.ED. |
| License Number: | 460 |
| Business Practice Address: | 1 Ave Periferal 1111-a Cond Cuidad Universitaria Trujillo Alto, PR - 00976 |
| Business Phone Number: | 7873741402 |
| Business Fax Number: | |
| Mailing Address: | 1 Ave. Periferal 1111-a, Cond. Ciudad Universitaria TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 009762124 |
| Phone Number: | 7873741402 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2009 |
| NPI Last Update Date: | 01/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 460 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |