Giovanni Andino Feliciano, LND

Individual provider Active NPI Registered Dietitian · Juncos, PR

NPI 1205149671 · NPPES record last updated Jul 14, 2010

Key facts

NPI
1205149671
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1577 (PR)
Practice address
HC 23 Box 6156
Juncos, PR 00777-9790
Phone
(787) 554-6677
NPI assigned
Jul 14, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1577PRMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1577 PR Yes

Addresses

Primary practice location

HC 23 Box 6156
Juncos, PR 00777-9790

Mailing address

HC 23 Box 6156
Juncos, PR 00777-9790
Phone (787) 554-6677

Other providers in Juncos, PR

All providers in Juncos, PR · Registered Dietitian in Puerto Rico

Sources for this page

Verify at the official NPI Registry.