Provider Demographics
NPI:1427086446
Name:LOZADA, ALMA B
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:B
Last Name:LOZADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 110
Mailing Address - Street 2:PO BOX 4970
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4970
Mailing Address - Country:US
Mailing Address - Phone:787-744-7112
Mailing Address - Fax:787-744-7224
Practice Address - Street 1:AVE. DEGETAU
Practice Address - Street 2:#45 BONEVILLE HEIGHTS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-744-7112
Practice Address - Fax:787-744-7224
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00877133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
58516Medicare PIN