MEDICARE: PROF. ZILKIA ORTEGA RD, MPH, LND

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	132700000X	Dietary Manager	341	PR
2	133N00000X	Nutritionist	341	PR
3	133NN1002X	Nutrition Education Nutritionist	341	PR
4	133V00000X	Registered Dietitian	341	PR
5	133VN1004X	Pediatric Nutrition Registered Dietitian	341	PR
6	133VN1005X	Renal Nutrition Registered Dietitian	341	PR
7	133VN1006X	Metabolic Nutrition Registered Dietitian	341	PR

General Provider Information

NPI Number	:	1992953020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. ZILKIA ORTEGA RD, MPH, LND

Provider Business Mailing Address
First Line	:	PO BOX 360811
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00936-0811
Country	:	US
Telephone Number	:	787-460-1650
Fax Number	:	787-963-1650

Provider Business Practice Location Address
First Line	:	AVE MONSERRATE # BA-14
Second Line	:	VALLE ARRIBA HEIGHTS
City	:	CAROLINA
State	:	PR
Zip	:	00985-5444
Country	:	US
Telephone Number	:	787-757-2550
Fax Number	:	787-762-2425

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

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	03/09/2009

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