IndividualActive
Edwill Burgos-Velazquez, LCDO
NPI 1679963722 · Nutrition Education Nutritionist · Coamo, PR
Provider details
- NPI number
- 1679963722
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- LCDO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1897 (PR)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2 Calle Segundo Bernier
Coamo, PR 00769-3036
Phone: (787) 803-8221
Fax: (787) 537-7071
Mailing address
Po Box 83
Santa Isabel, PR 00757
Registry dates
- Enumerated
- 2015-01-28
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.