Provider Demographics
NPI:1770886814
Name:MELENDEZ ALERS, YOLANDA (DIETITIAN)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:MELENDEZ ALERS
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 1:22 CALLE 16
Mailing Address - Street 2:
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962-6052
Mailing Address - Country:US
Mailing Address - Phone:787-675-3568
Mailing Address - Fax:
Practice Address - Street 1:22 CALLE 16
Practice Address - Street 2:
Practice Address - City:CATANO
Practice Address - State:PR
Practice Address - Zip Code:00962-6052
Practice Address - Country:US
Practice Address - Phone:787-675-3568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1365133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1365OtherDIETITIAN LICENSE