| Avivir Llc | |
|
Carr189 Km7.8, Gurabo, PR 00778 | |
| (787) 937-4605 | |
| Not Available |
| Full Name | Avivir Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | Carr189 Km7.8, Gurabo, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497510788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Debora E Sosa Caraballo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417246117 PECOS PAC ID: 6709030398 Enrollment ID: I20130207000136 |
| Mailing Address | Practice Location Address |
|---|---|
| Avivir Llc Hc4box19756, Gurabo, PR 00778 Ph: (787) 937-4605 | Avivir Llc Carr189 Km7.8, Gurabo, PR 00778 Ph: (787) 937-4605 |
Javier Aguayo, Dietitian Medicare: Medicare Enrolled Practice Location: H11 Calle 7, Gurabo, PR 00778 Phone: 939-272-4535 |
Mrs. Marta I Moreno, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: Andres Aruz Rivera 166 Oeste, Gurabo, PR 00778 Phone: 787-737-6441 Fax: 787-737-1288 |
Yaritza Trinidad Oyola, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Calle Sol De Luna, Paraiso De Gurabo, Gurabo, PR 00778 Phone: 787-374-8736 |
Zuleyma Gonzalez Matta, LPN Dietitian Medicare: Medicare Enrolled Practice Location: 215 Calle Jacinto, Gurabo, PR 00778 Phone: 787-246-7595 |