Provider Demographics
NPI:1164281242
Name:WHY NUTRITION LLC
Entity Type:Organization
Organization Name:WHY NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:AIDYL MARIE
Authorized Official - Last Name:PEREZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LND # 2120
Authorized Official - Phone:787-238-7108
Mailing Address - Street 1:1486 AVE FD ROOSEVELT APT 712
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-2739
Mailing Address - Country:US
Mailing Address - Phone:787-238-7108
Mailing Address - Fax:
Practice Address - Street 1:1225 AVE PONCE DE LEON PH 1118
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3907
Practice Address - Country:US
Practice Address - Phone:787-238-7108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty