IndividualActive
Ana Russe, LCDA.
NPI 1396760435 · Nutritionist · Manati, PR
Provider details
- NPI number
- 1396760435
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- LCDA.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 765 (PR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
Urb. Atenas Marginal Elliot Velez
J-20
Manati, PR 00674
Phone: (787) 884-8923
Fax: (787) 884-8923
Mailing address
Po Box 443
Morovis, PR 00687-0443
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.