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NPI Code Detail

MEDICARE: MISS MARIA ISABEL CARDONA LND

MEDICARE:  MISS MARIA ISABEL CARDONA  LND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1446PR

General Provider Information

NPI Number : 1720370430
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARIA ISABEL CARDONA LND
Provider Business Mailing Address
First Line : PO BOX 831
Second Line :
City : GURABO
State : PR
Zip : 00778-0831
Country : US
Telephone Number : 787-424-9778
Fax Number : 787-966-7260
Provider Business Practice Location Address
First Line : 4 CALLE JOSE J ACOSTA
Second Line :
City : VEGA BAJA
State : PR
Zip : 00693-4469
Country : US
Telephone Number : 787-807-3703
Fax Number : 787-966-7260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2011
Last Update Date : 11/28/2016

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Directions to “ MISS MARIA ISABEL CARDONA LND” Practice Location

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