Miss Coralys Milagros Sepulveda Rivera, RDN | |
Urb. Pereyo #9 Calle Orion, Humacao, PR 00791 | |
(787) 998-2040 | |
Not Available |
Full Name | Miss Coralys Milagros Sepulveda Rivera |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | Urb. Pereyo #9 Calle Orion, Humacao, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1356932818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86054765 (Puerto Rico) | Primary |
Provider Name | Proactivemed Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841070208 PECOS PAC ID: 1850742479 Enrollment ID: O20240109000308 |
Mailing Address | Practice Location Address |
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Miss Coralys Milagros Sepulveda Rivera, RDN Hc 5 Box 5897, Yabucoa, PR 00767-9699 Ph: (787) 238-7126 | Miss Coralys Milagros Sepulveda Rivera, RDN Urb. Pereyo #9 Calle Orion, Humacao, PR 00791 Ph: (787) 998-2040 |
Mrs. Jeannette Rodriguez, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: Ave. Font Martelo #334b, Humacao, PR 00791 Phone: 787-285-1271 | |
Ms. Cianel Paullette Garcia, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: Ave Font Martelo 355, Humacao, PR 00971 Phone: 787-852-0768 | |
Mrs. Jossie M Bautista, LND,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 51 Calle Flor Gerena S, Humacao, PR 00791 Phone: 787-245-9446 | |
Mrs. Moraima Garcia Vergara, LND Dietitian Medicare: Accepting Medicare Assignments Practice Location: Ave. Font Martelo 158, Humacao, PR 00791 Phone: 787-318-2041 | |
Ms. Suzanne Marie Jimenez, RD, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: Professional Plaza Carr 908 Km 0.4, Suite A2, Tejas, Humacao, PR 00792 Phone: 787-314-9305 | |