Provider Demographics
NPI:1285387704
Name:BILINGUAL DIETITIAN LLC
Entity type:Organization
Organization Name:BILINGUAL DIETITIAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND RDN
Authorized Official - Prefix:
Authorized Official - First Name:TATIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ-BURGOS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LND, CPT
Authorized Official - Phone:787-392-9749
Mailing Address - Street 1:HC 3 BOX 15309
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-9201
Mailing Address - Country:US
Mailing Address - Phone:787-392-9749
Mailing Address - Fax:
Practice Address - Street 1:RD 348 KM 3.0 INTERIOR BO. QUEBRADA GRANDE
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-392-9749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty