Active NPIIndividual providerSole proprietor

Gustavo J Mangual, LND, CDN

Nutritionist in Ponce, Puerto Rico

NPI Number1427822428
Practice location
196 Calle Castania, Ponce, PR 00731-9565
Fax
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Last updated
November 9, 2023

Gustavo Jose Mangual is a Nutritionist based in Ponce, PR. Gustavo Jose Mangual practices in Ponce, PR and has the professional credentials of LND, CDN. The NPI Number for Gustavo Jose Mangual is 1427822428 and holds a License No. 2184 (PR). The current practice location address for Gustavo Jose Mangual is 196 Calle Castania, Ponce, PR 00731-9565 and can be reached out via phone at 787-638-4564.

Provider Profile Details

NPI Number
1427822428
Provider Name
Gustavo Jose Mangual
Credential
LND, CDN
Provider Entity Type
Individual
Gender
Male
Address
196 Calle Castania, Ponce, PR 00731-9565
Phone Number
787-638-4564
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 9, 2023
Last Update Date
November 9, 2023
Certification Date
November 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
196 Calle Castania
Ponce, PR 00731-9565
City
Ponce
Zip
00731-9565
Phone Number
787-638-4564
Ponce, PR 00731Get directions →

Provider Business Mailing Address Details

Address
196 Calle Castania
Ponce, PR 00731-9565
City
Ponce
State
PR
Zip
00731-9565
Phone Number
787-638-4564

License Information

License Number
2184
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 Gustavo J Mangual, LND, CDN?

The NPI number of Gustavo J Mangual, LND, CDN is 1427822428. It was assigned on November 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Gustavo J Mangual, LND, CDN?

Gustavo J Mangual, LND, CDN is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in PR under license number 2184.

Where does Gustavo J Mangual, LND, CDN practice?

The practice location is 196 Calle Castania, Ponce, PR 00731-9565. The office can be reached at 787-638-4564 (phone).

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 1427822428 directly on the NPPES registry website.

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