Healthcare Provider Details

I. General information

NPI: 1689414468
Provider Name (Legal Business Name): MR NUTRITION CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 CARR. #20, SUITE 101
GUAYNABO PR
00966-3325
US

IV. Provider business mailing address

42 CARR. #20, SUITE 101
GUAYNABO PR
00966-3325
US

V. Phone/Fax

Practice location:
  • Phone: 787-988-2027
  • Fax:
Mailing address:
  • Phone: 787-988-2027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: LYVETTE MERCADO VELEZ
Title or Position: DIRECTOR
Credential:
Phone: 787-475-7393