Healthcare Provider Details

I. General information

NPI: 1033042635
Provider Name (Legal Business Name): NUTRIFIT FLORIDA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CALLE PADIAL PLAZA GATSBY STE 212
CAGUAS PR
00725-3807
US

IV. Provider business mailing address

405 CALLE JUAN B RODRIGUEZ APT 2012
SAN JUAN PR
00918-2515
US

V. Phone/Fax

Practice location:
  • Phone: 787-653-7555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: MISS MARIELY FERMAINT
Title or Position: PRESIDENT
Credential: LND
Phone: 787-653-7555