| The Nutrition Lab Llc | |
|
1507 Ave Ponce De Leon, Suite #101, San Juan, PR 00909 | |
| (787) 403-3333 | |
| Not Available |
| Full Name | The Nutrition Lab Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1507 Ave Ponce De Leon, San Juan, 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 |
|---|---|---|---|
| 1073301339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Provider Name | Sachelly Julian-serrano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619560760 PECOS PAC ID: 2769998640 Enrollment ID: I20250718000784 |
| Mailing Address | Practice Location Address |
|---|---|
| The Nutrition Lab Llc 1250 Ave Ponce De Leon, Suite 301 Pmb 2038, San Juan, PR 00907 Ph: (787) 461-6452 | The Nutrition Lab Llc 1507 Ave Ponce De Leon, Suite #101, San Juan, PR 00909 Ph: (787) 403-3333 |
Mr. Omar Alexis Miranda, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: Street 1 B-12, Urb. Colinas Verdes, San Juan, PR 00924 Phone: 787-752-3928 |
Carmen Milagros Betancourt Rodriguez, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Calle Sol, Urb. Adoquines, San Juan, PR 00926 Phone: 787-373-3984 |
Joan Diaz, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 Calle Casia, San Juan, PR 00921 Phone: 787-641-7582 Fax: 787-641-8399 |
Veronica Luciano, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 Calle Casia, San Juan, PR 00921 Phone: 787-641-7582 |
Mrs. Karla Desiree Egea Diaz, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 762 Calle Andromeda, San Juan, PR 00926 Phone: 787-221-1062 |
Melissa E. Nieves, LND, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: Metro Hato Rey Inc. Hospital Pavia, Ave. Ponce De Leon, San Juan, PR 00919 Phone: 787-641-2323 |
Miss Karilys Olivencia Ferrer, LND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1395 Calle San Rafael, Parada 22 Santurce, San Juan, PR 00910 Phone: 787-439-5253 |