Provider Demographics
NPI:1467568030
Name:NUTRITION METABOLISM EDUCATION & TREATMENT CENTER
Entity Type:Organization
Organization Name:NUTRITION METABOLISM EDUCATION & TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:TRABANCO DE LA CRUZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-284-7150
Mailing Address - Street 1:PARRA MEDICAL INSTITUTE 2225 PONCE BY PASS SUITE 509
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1379
Mailing Address - Country:US
Mailing Address - Phone:787-284-7150
Mailing Address - Fax:787-842-1199
Practice Address - Street 1:NUTRITION METABOLISM EDUCATION & TREATMENT CENTER
Practice Address - Street 2:PARRA MEDICAL INSTITUTE SUITE 509
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1379
Practice Address - Country:US
Practice Address - Phone:787-284-7150
Practice Address - Fax:787-842-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RE0101X
PR207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84967Medicare ID - Type Unspecified