Provider Demographics
NPI:1619309812
Name:TORRES-SANTOS, JULIANA M (LND)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:M
Last Name:TORRES-SANTOS
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10000
Mailing Address - Street 2:SUITE 191
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-9601
Mailing Address - Country:US
Mailing Address - Phone:787-738-7381
Mailing Address - Fax:787-738-7381
Practice Address - Street 1:109 AVE LUIS MUNOZ RIVERA S
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4746
Practice Address - Country:US
Practice Address - Phone:787-738-7381
Practice Address - Fax:787-738-7381
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1677133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education