Diaz Boulon, Alicia Z

Diaz Boulon, Alicia Z is an sole proprietor health care provider with primary practice located at La Alameda 785 Calle Rubi, San Juan PR 00926-6733. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Diaz Boulon, Alicia Z can be contacted via phone (787) 422-0202.

Contact Information

Primary practice address
La Alameda 785 Calle Rubi San Juan PR 00926-6733
Phone: (787) 422-0202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1239 Puerto Rico

Profile Details

NPI number 1235331745
LBN Legal business name Diaz Boulon, Alicia Z
Credentials LND, RD, MHSN, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2007
Last updated Oct 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235331745 NPPES
Puerto Rico Other 867067 RD
Puerto Rico Other 1239 RD
Puerto Rico Other 2062-0127 RD

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