Provider Demographics
NPI:1265269880
Name:ABR NUTRITION
Entity type:Organization
Organization Name:ABR NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:JOSUE
Authorized Official - Last Name:BELEN RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-631-6910
Mailing Address - Street 1:CALLE SYDNEY URB. OLYMPIC VILLE
Mailing Address - Street 2:B14 BOX 100
Mailing Address - City:LAS PIEDRAS, PR
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-631-6910
Mailing Address - Fax:
Practice Address - Street 1:100 CALLE SYDNEY
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-9683
Practice Address - Country:US
Practice Address - Phone:787-631-6910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty