Provider Demographics
NPI:1336358803
Name:CEDENO GOMEZ, FRANCHESKA
Entity Type:Individual
Prefix:MISS
First Name:FRANCHESKA
Middle Name:
Last Name:CEDENO GOMEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND CAMINO DE LA REINA
Mailing Address - Street 2:CARR 8860 EDIF 1 APT 102
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-257-0304
Mailing Address - Fax:
Practice Address - Street 1:COND CAMINO DE LA REINA
Practice Address - Street 2:CARR 8860 EDIF 1 APT 102
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-257-0304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1227133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered