Healthcare Provider Details

I. General information

NPI: 1447000260
Provider Name (Legal Business Name): JOYCE ALEJANDRA SANTA RD, LND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 3 KM 8.3 AV 65 DE INFANTERIA
CAROLINA PR
00984
US

IV. Provider business mailing address

KM 8.3 CALLE 3 AV 65 DE INFANTERIA
CAROLINA PR
00984
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1800
  • Fax:
Mailing address:
  • Phone: 787-757-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2247
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: