Elba Elisa Gonzalez in Trujillo Alto - Nutrition, Pediatric
Elba Elisa Gonzalez - NPI 1992851778
Elba Elisa Gonzalez is a Nutrition, Pediatric in Trujillo Alto, Puerto Rico. Elba Elisa Gonzalez practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Elba Elisa Gonzalez is 1992851778. The last update date is 2007-07-08.
Elba Elisa Gonzalez's current location address is 5 Via Sur, Trujillo Alto, Puerto Rico. You can contact this provider via phone number 7877556201. The mailing address for Elba Elisa Gonzalez is 5 Via Sur, Trujillo Alto, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elba Elisa Gonzalez |
|---|---|
| Address | 5 Via Sur, Trujillo Alto, Puerto Rico |
| Phone Number | 7877556201 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LD,RD,MBA, |
NPI Number Detail
| NPI Number | 1992851778 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Via Sur |
|---|---|
| City | Trujillo Alto |
| State | Puerto Rico (PR) |
| Post Code | 9766159 |
| Phone Number | 7877556201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 677 |
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Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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What is the unique 10-digit identifier code issued to Elba Elisa Gonzalez by the Centers for Medicare & Medicaid Services?
The Elba Elisa Gonzalez has been assigned the NPI (National Provider Identifier) 1992851778 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Elba Elisa Gonzalez's physical address?
The Elba Elisa Gonzalez is physically located at 5 Via Sur, in the city of Trujillo Alto, PR, with the postal code 9766159.
What is Elba Elisa Gonzalez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elba Elisa Gonzalez's area of specialization is Nutrition, Pediatric, and the corresponding taxonomy code that categorizes this field of practice is 133Vn1004X.
On what date did the Elba Elisa Gonzalez receive its 1992851778 assignment from the Centers for Medicare & Medicaid Services?
The Elba Elisa Gonzalez was assigned its 1992851778 by the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date were the Elba Elisa Gonzalez's details last updated?
The information pertaining to the Elba Elisa Gonzalez, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
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