Healthcare Provider Details

I. General information

NPI: 1417254657
Provider Name (Legal Business Name): NUTRITION, METABOLISM, EDUCATION AND TREATMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 PARRA MEDICAL INSTITUTE SUITE 509 PONCE BY PASS
PONCE PR
00717-1382
US

IV. Provider business mailing address

2225 PARRA MEDICAL INSTITUTE SUITE 509 PONCE BY PASS
PONCE PR
00717-1382
US

V. Phone/Fax

Practice location:
  • Phone: 787-284-7150
  • Fax: 787-842-1199
Mailing address:
  • Phone: 787-284-7150
  • Fax: 787-842-1199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CESAR H TRABANCO
Title or Position: PRESIDENT N.M.E.T.C.
Credential: MD
Phone: 787-841-7168