Healthcare Provider Details

I. General information

NPI: 1972121309
Provider Name (Legal Business Name): VERONICA CRISTINA RODRIGUEZ APONTE RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 07/13/2020
Certification Date: 07/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 PONCE DE LEON AVENUE NUTRITION DEPARTMENT
SAN JUAN PR
00919-1227
US

IV. Provider business mailing address

105 CALLE ROOSEVELT
TOA ALTA PR
00953-3630
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-2000
  • Fax:
Mailing address:
  • Phone: 939-717-6886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number2095
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86054770
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: