Healthcare Provider Details

I. General information

NPI: 1922803956
Provider Name (Legal Business Name): NUTRITI0N FOR YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. LA RIVIERA 1260 CALLE 54 SE
SAN JUAN PR
00921
US

IV. Provider business mailing address

320 VALLE DE TORRIMAR
GUAYNABO PR
00966-8706
US

V. Phone/Fax

Practice location:
  • Phone: 787-999-5538
  • Fax: 787-999-5539
Mailing address:
  • Phone: 787-632-9257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KARILYN LOPEZ NEGRON
Title or Position: NUTRITIONIST
Credential: LND
Phone: 787-632-9257