Individual provider · NPI-1
Vanessa L Diaz Perez I, LND
Nutritionist · Caguas, PR
NPI number1205212362
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1205212362
- Entity type
- Individual (NPI-1)
- Name
- Miss Vanessa L Diaz Perez I
- Credential
- LND
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2015
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | 1932 | PR | Yes |
Practice location
Professional Center Building Suite #310Caguas, PR 00725
Phone 787-234-3435
Mailing address
800 Caminito Alto I Carr 189Apt 942
Gurabo, PR 00778
Phone 787-234-3435
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