| Nutrivida Llc | |
|
53 Calle Dr Goyco, Caguas, PR 00725-2624 | |
| (787) 652-7601 | |
| Not Available |
| Full Name | Nutrivida Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered - Nutrition, Oncology |
| Location | 53 Calle Dr Goyco, Caguas, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225783012 | NPI | - | NPPES |
| 1467691972 | Other | PR | DIETITIAN |
| 1467691972 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1301X | Dietitian, Registered - Nutrition, Oncology | (* (Not Available)) | Primary |
| Provider Name | Joselyn M Perez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467691972 PECOS PAC ID: 4587899026 Enrollment ID: I20131108001170 |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrivida Llc 28 Calle Urano Los Paisajes Ciudad Jardin, Gurabo, PR 00778-9211 Ph: (939) 652-7601 | Nutrivida Llc 53 Calle Dr Goyco, Caguas, PR 00725-2624 Ph: (787) 652-7601 |
Natalia Maria Torres Gonzalez, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: Urb Villa Victoria Calle 8 L3, Caguas, PR 00725 Phone: 787-349-5375 | |
Bianca Janelle Rodriguez, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: Carr 796 Km 0.5 Int Bo Guasabara, Caguas, PR 00725 Phone: 787-344-2765 | |
Janice Delgado, LND Dietitian Medicare: Medicare Enrolled Practice Location: Tomas De Castro 1, Carr 761 Km 1.0, Caguas, PR 00725 Phone: 787-226-0245 | |
Carla Andrea Consuegra, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: F25 Ave Ricky Seda, Caguas, PR 00727 Phone: 787-410-9386 | |
Centro Medico Del Turabo, Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Luis Munoz Marin Ave., Caguas, PR 00725 Phone: 787-653-3434 Fax: 787-653-1280 | |
Jacqueline Norat, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: Bo Borinquen Carr. 765 Km 5.5, Caguas, PR 00725 Phone: 787-246-4800 |