Active NPIIndividual providerSole proprietor

Edwill Burgos-Velazquez, LCDO

Nutritionist, Nutrition, Education in Coamo, Puerto Rico

NPI Number1679963722
Practice location
2 Calle Segundo Bernier, Coamo, PR 00769-3036
Fax
787-537-7071
Last updated
December 14, 2021

Edwill Burgos-Velazquez is a Nutritionist, Nutrition, Education based in Coamo, PR. Edwill Burgos-Velazquez practices in Coamo, PR and has the professional credentials of LCDO. The NPI Number for Edwill Burgos-Velazquez is 1679963722 and holds a License No. 1897 (PR). The current practice location address for Edwill Burgos-Velazquez is 2 Calle Segundo Bernier, Coamo, PR 00769-3036 and can be reached out via phone at 787-803-8221 and via fax at 787-537-7071.

Provider Profile Details

NPI Number
1679963722
Provider Name
Edwill Burgos-Velazquez
Credential
LCDO
Provider Entity Type
Individual
Gender
Male
Address
2 Calle Segundo Bernier, Coamo, PR 00769-3036
Phone Number
787-803-8221
Fax Number
787-537-7071
Primary Taxonomy
Nutritionist, Nutrition, Education · 133NN1002X
Sole Proprietor
Yes
Provider Enumeration Date
January 28, 2015
Last Update Date
December 14, 2021
Certification Date
December 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Calle Segundo Bernier
Coamo, PR 00769-3036
City
Coamo
Zip
00769-3036
Phone Number
787-803-8221
Fax Number
787-537-7071
Coamo, PR 00769Get directions →

Provider Business Mailing Address Details

Address
Po Box 83
Santa Isabel, PR 00757
City
Santa Isabel
State
PR
Zip
00757
Phone Number
787-242-6225

License Information

License Number
1897
License State
PR
Taxonomy
Nutritionist, Nutrition, Education · 133NN1002X · 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 Edwill Burgos-Velazquez, LCDO?

The NPI number of Edwill Burgos-Velazquez, LCDO is 1679963722. It was assigned on January 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Edwill Burgos-Velazquez, LCDO?

Edwill Burgos-Velazquez, LCDO is registered under the primary taxonomy Nutritionist, Nutrition, Education (code 133NN1002X), licensed in PR under license number 1897.

Where does Edwill Burgos-Velazquez, LCDO practice?

The practice location is 2 Calle Segundo Bernier, Coamo, PR 00769-3036. The office can be reached at 787-803-8221 (phone) or 787-537-7071 (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 1679963722 directly on the NPPES registry website.

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