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NPI Profile for EDWILL BURGOS VELAZQUEZ in COAMO, PR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI # | 1679963722 |
|
| Status | Active | |
| Credentials | LCDO | |
| Entity | Individual | |
| Enumeration date | 01/28/2015 | |
| Last updated | 12/14/2021 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EDWILL BURGOS VELAZQUEZ, LCDO