Provider Demographics
NPI:1154296655
Name:PENA - CRUZ, GIORINES (LND)
Entity type:Individual
Prefix:
First Name:GIORINES
Middle Name:
Last Name:PENA - CRUZ
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 CALLE INGENIO
Mailing Address - Street 2:HACIENDA MARGARITA
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773-3031
Mailing Address - Country:US
Mailing Address - Phone:787-435-9615
Mailing Address - Fax:
Practice Address - Street 1:272 CALLE INGENIO
Practice Address - Street 2:HACIENDA MARGARITA
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773-3031
Practice Address - Country:US
Practice Address - Phone:787-435-9615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2151133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered