Provider Demographics
NPI:1295933562
Name:NUTRITION METABOLISM EDUCATION AND TREATMENT CENTER
Entity type:Organization
Organization Name:NUTRITION METABOLISM EDUCATION AND TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DIETITIAN DE CPT
Authorized Official - Phone:787-284-7150
Mailing Address - Street 1:PARRA MEDICAL INSTITUTE SUITE 509
Mailing Address - Street 2:2225 PONCE BYPASS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1382
Mailing Address - Country:US
Mailing Address - Phone:787-284-7150
Mailing Address - Fax:787-842-1199
Practice Address - Street 1:PARRA MEDICAL INSTITUTE SUITE 509
Practice Address - Street 2:PONCE BYPASS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1382
Practice Address - Country:US
Practice Address - Phone:787-284-7150
Practice Address - Fax:787-842-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1380133V00000X
PR689133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty