Nutrevita Clinic LLC
NPI #1811684210 in Rio Grande, Puerto Rico
Provider Information
- NPI Number
- 1811684210
- Entity Type
- Organization
- Organization Name
- Nutrevita Clinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 18, 2023
- Last Updated
- Apr 18, 2023
Practice Location
- Address
- CALLE GARCIA DE LA NOCEDA B26
- Address 2
- VILLAS DE RIO GRANDE
- City
- Rio Grande
- State
- Puerto Rico
- ZIP Code
- 00745
- Phone
- (787) 550-2510
Authorized Official
- Name
- MONICA SANTIAGO GORDIAN, RDN, LND, CDCES
- Title
- DIRECTOR
- Phone
- (787) 550-2510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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