Provider Demographics
NPI:1295112910
Name:RIOS LOPEZ, RUTH ESTHER (LND, MHSN)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ESTHER
Last Name:RIOS LOPEZ
Suffix:
Gender:F
Credentials:LND, MHSN
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 78
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0078
Mailing Address - Country:US
Mailing Address - Phone:787-485-3061
Mailing Address - Fax:
Practice Address - Street 1:P48A AVE. PEDRO ALBIZU CAMPOS
Practice Address - Street 2:BARRIO MAMEYAL
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-0000
Practice Address - Country:US
Practice Address - Phone:787-485-3061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1673133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist