Provider Demographics
NPI:1396938734
Name:RODRIGUEZ, BETSY Y (DIETITIAN)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:Y
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 15228
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-9747
Mailing Address - Country:US
Mailing Address - Phone:787-284-7150
Mailing Address - Fax:787-842-1199
Practice Address - Street 1:45 MUNOZ RIVERA STREET
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-2422
Practice Address - Country:US
Practice Address - Phone:787-260-0447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR689133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist