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NPI Code Detail

MEDICARE: GABRIELA TIRADO

MEDICARE: GABRIELA TIRADO
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
1133V00000XRegistered Dietitian1927PR
2132700000XDietary Manager1927PR

General Provider Information

NPI Number : 1851778179
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA TIRADO
Provider Business Mailing Address
First Line : 1960 CALLE ESPANA
Second Line : URB OCEAN PARK
City : SAN JUAN
State : PR
Zip : 00911-2101
Country : US
Telephone Number : 787-486-6495
Fax Number :
Provider Business Practice Location Address
First Line : 715 AVENIDAD PONCE DE LEON
Second Line : NUTRITION DEPT.
City : SAN JUAN
State : PR
Zip : 00909-1958
Country : US
Telephone Number : 787-758-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2015
Last Update Date : 03/03/2026

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Directions to “ GABRIELA TIRADO ” Practice Location

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