Provider Demographics
NPI:1649400607
Name:ANDREU ALICEA, FLOR DEL R (NUTRICIONIST)
Entity Type:Individual
Prefix:MRS
First Name:FLOR
Middle Name:DEL R
Last Name:ANDREU ALICEA
Suffix:
Gender:F
Credentials:NUTRICIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CEIBA ST.
Mailing Address - Street 2:MANSIONES DEL SUR
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2080
Mailing Address - Country:US
Mailing Address - Phone:787-504-4047
Mailing Address - Fax:
Practice Address - Street 1:26 CEIBA ST.
Practice Address - Street 2:MANSIONES DEL SUR
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2080
Practice Address - Country:US
Practice Address - Phone:787-504-4047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1103132700000X, 133VN1005X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No132700000XDietary & Nutritional Service ProvidersDietary Manager
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal