Doctor Name: | ILEANA MARIE LOPEZ COLON |
NPI Number: | 1831466580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LND |
License Number: | 1452 |
Business Practice Address: | #2507 Ave. Boulevard Toa Baja, PR - 00949 |
Business Phone Number: | 7876884232 |
Business Fax Number: | |
Mailing Address: | Urb. Monte Verde Street Golondrina 201, DORADO |
State: | PR |
Postal Code: | 00646 |
Phone Number: | 7876884232 |
Fax Number: | |
NPI Enumeration Date: | 11/23/2011 |
NPI Last Update Date: | 11/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1452 |
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 |