Organization · NPI-2

100 Porciento Bienestar LLC

Nutritionist · Caguas, PR

NPI number1801509369
StatusActive
Last updated in NPPESApr 30, 2024

Details

NPI
1801509369
Entity type
Organization (NPI-2)
Legal business name
100 Porciento Bienestar LLC
Organization subpart
No
Enumeration date
Dec 29, 2022
Certification date
Dec 28, 2022
Last updated
Apr 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133N00000X Nutritionist––Yes

Practice location

Urb Boneville
Ave Degetau A7
Caguas, PR 00725

Phone 787-347-4406

Mailing address

350 Bo Sud Arriba
Cidra, PR 00739-2424

Phone 787-347-4406

Authorized official

Yadira Ortiz
President
7875954938

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