Provider Demographics
NPI:1598444960
Name:GONZALEZ RUL, PAULINA (MS, LDN, CNS)
Entity Type:Individual
Prefix:MRS
First Name:PAULINA
Middle Name:
Last Name:GONZALEZ RUL
Suffix:
Gender:F
Credentials:MS, LDN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6181 CYPRESS HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-5904
Mailing Address - Country:US
Mailing Address - Phone:646-401-4267
Mailing Address - Fax:
Practice Address - Street 1:21301 POWERLINE RD STE 107
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-2389
Practice Address - Country:US
Practice Address - Phone:561-299-1164
Practice Address - Fax:561-567-7756
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND11496133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist