1649400607 NPI number — MRS. FLOR DEL R ANDREU ALICEA NUTRICIONIST

Table of content: MRS. FLOR DEL R ANDREU ALICEA NUTRICIONIST (NPI 1649400607)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649400607 NPI number — MRS. FLOR DEL R ANDREU ALICEA NUTRICIONIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDREU ALICEA
Provider First Name:
FLOR
Provider Middle Name:
DEL R
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NUTRICIONIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649400607
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26 CEIBA ST.
Provider Second Line Business Mailing Address:
MANSIONES DEL SUR
Provider Business Mailing Address City Name:
COTO LAUREL
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00780-2080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-504-4047
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
26 CEIBA ST.
Provider Second Line Business Practice Location Address:
MANSIONES DEL SUR
Provider Business Practice Location Address City Name:
COTO LAUREL
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00780-2080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-504-4047
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 132700000X , with the licence number:  1103 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133VN1005X , with the licence number: 1103 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133NN1002X , with the licence number: 1103 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)