Provider Demographics
NPI:1518104694
Name:CARDIN ARROYO, WALESKA (LND)
Entity Type:Individual
Prefix:MISS
First Name:WALESKA
Middle Name:
Last Name:CARDIN ARROYO
Suffix:
Gender:F
Credentials:LND
Other - Prefix:MISS
Other - First Name:WALESKA
Other - Middle Name:
Other - Last Name:CARDIN ARROYO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LND
Mailing Address - Street 1:HC 1 BOX 6467
Mailing Address - Street 2:BARRIO PASTO
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-9786
Mailing Address - Country:US
Mailing Address - Phone:787-735-7692
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 6467
Practice Address - Street 2:BARRIO PASTO
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-9786
Practice Address - Country:US
Practice Address - Phone:787-735-7692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1374133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education