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NPI Code Detail

MEDICARE: MELBA RODRIGUEZ RAMOS

MEDICARE:   MELBA  RODRIGUEZ RAMOS
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
1133N00000XNutritionist894PR
2133V00000XRegistered Dietitian894PR

General Provider Information

NPI Number : 1962774331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELBA RODRIGUEZ RAMOS
Provider Business Mailing Address
First Line : 400 AVE FD ROOSEVELT STE 206
Second Line : AVE. ROOSEVELT # 400
City : SAN JUAN
State : PR
Zip : 00918-2129
Country : US
Telephone Number : 787-764-8787
Fax Number : 787-250-1029
Provider Business Practice Location Address
First Line : 400 AVE FD ROOSEVELT STE 206
Second Line : AVE. ROOSEVELT # 400
City : SAN JUAN
State : PR
Zip : 00918-2129
Country : US
Telephone Number : 787-764-8787
Fax Number : 787-250-1029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2012
Last Update Date : 02/17/2012

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Directions to “ MELBA RODRIGUEZ RAMOS ” Practice Location

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