Active NPIIndividual providerSole proprietor

Johannie Gonzalez Velazquez, LCDA

Nutritionist in Aguadilla, Puerto Rico

NPI Number1073150637
Practice location
536 Ave Victoria, Aguadilla, PR 00603-4623
Fax
787-658-7116
Last updated
December 3, 2019

Johannie Gonzalez Velazquez is a Nutritionist based in Aguadilla, PR. Johannie Gonzalez Velazquez practices in Aguadilla, PR and has the professional credentials of LCDA. The NPI Number for Johannie Gonzalez Velazquez is 1073150637 and holds a License No. 1471 (PR). The current practice location address for Johannie Gonzalez Velazquez is 536 Ave Victoria, Aguadilla, PR 00603-4623 and can be reached out via phone at 787-658-6218 and via fax at 787-658-7116.

Provider Profile Details

NPI Number
1073150637
Provider Name
Johannie Gonzalez Velazquez
Credential
LCDA
Provider Entity Type
Individual
Gender
Female
Address
536 Ave Victoria, Aguadilla, PR 00603-4623
Phone Number
787-658-6218
Fax Number
787-658-7116
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 3, 2019
Last Update Date
December 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
536 Ave Victoria
Aguadilla, PR 00603-4623
Zip
00603-4623
Phone Number
787-658-6218
Fax Number
787-658-7116
Aguadilla, PR 00603Get directions →

Provider Business Mailing Address Details

Address
Hc 2 Box 11671
Moca, PR 00676-8255
City
Moca
State
PR
Zip
00676-8255
Phone Number
787-617-7144
Fax Number
787-658-7116

License Information

License Number
1471
License State
PR
Taxonomy
Nutritionist · 133N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Johannie Gonzalez Velazquez, LCDA?

The NPI number of Johannie Gonzalez Velazquez, LCDA is 1073150637. It was assigned on December 3, 2019 and is currently active in the NPPES registry.

What is the specialty of Johannie Gonzalez Velazquez, LCDA?

Johannie Gonzalez Velazquez, LCDA is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in PR under license number 1471.

Where does Johannie Gonzalez Velazquez, LCDA practice?

The practice location is 536 Ave Victoria, Aguadilla, PR 00603-4623. The office can be reached at 787-658-6218 (phone) or 787-658-7116 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073150637 directly on the NPPES registry website.

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