| Nutrisector Llc | |
|
Carr 112 Km 1.4 Int Ave Agustin Ramos Calero Hospital Cima Isabela Isabela PR 00662-0979 | |
| (787) 242-2193 | |
| Not Available |
| Full Name | Nutrisector Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | Carr 112 Km 1.4 Int, Isabela, Puerto Rico |
| Authorized Official Name and Position | Aida Nancy Sisco (DIRECTOR) |
| Authorized Official Contact | 7872422193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrisector Llc 77 Calle Zirconia Isabela PR 00662-2378 Ph: (787) 242-2193 | Nutrisector Llc Carr 112 Km 1.4 Int Ave Agustin Ramos Calero Hospital Cima Isabela Isabela PR 00662-0979 Ph: (787) 242-2193 |
| NPI Number | 1902303050 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 6002147451 |
|---|---|
| Medicare Enrollment ID | O20191016000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902303050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Aida Nancy Sisco |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982082061 PECOS PAC ID: 5092077263 Enrollment ID: I20180328000970 |
| Provider Name | Nicolle Lorraine Rosado Hernandez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558099374 PECOS PAC ID: 3870976806 Enrollment ID: I20220823004263 |
| Provider Name | Gabriela I Mercado Rojas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962262782 PECOS PAC ID: 3375984487 Enrollment ID: I20240507002362 |
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