MEDICARE: MAYRA YAZMIN GARCIA ZEDA LND, RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	01069672	PR

General Provider Information

NPI Number	:	1124464656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYRA YAZMIN GARCIA ZEDA LND, RDN

Provider Business Mailing Address
First Line	:	STREET H, E-12, URB. GOLDEN GATE II
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-235-3152
Fax Number	:

Provider Business Practice Location Address
First Line	:	STREET H, # E-12
Second Line	:	URB. GOLDEN GATE II
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-235-3152
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2013
Last Update Date	:	02/17/2026

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