Provider Demographics
NPI:1578324026
Name:TORRES BALBUENA, NILSA (MS, RDN, LND)
Entity Type:Individual
Prefix:
First Name:NILSA
Middle Name:
Last Name:TORRES BALBUENA
Suffix:
Gender:F
Credentials:MS, RDN, LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. RIO HONDO IV
Mailing Address - Street 2:DH-3 CALLE LLANURAS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3309
Mailing Address - Country:US
Mailing Address - Phone:787-528-1611
Mailing Address - Fax:
Practice Address - Street 1:URB. SANTA CRUZ
Practice Address - Street 2:CALLE SANTA CRUZ #66
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-560-7611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR902133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered