Provider Demographics
NPI:1487297057
Name:CORTES VELEZ, CRISTAL DALI (RD, LND)
Entity type:Individual
Prefix:
First Name:CRISTAL
Middle Name:DALI
Last Name:CORTES VELEZ
Suffix:
Gender:F
Credentials:RD, LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 CALLE JILGUERO
Mailing Address - Street 2:
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-2583
Mailing Address - Country:US
Mailing Address - Phone:939-350-2635
Mailing Address - Fax:
Practice Address - Street 1:CALLE SANTIAGO PALMER 44 SUR
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00785
Practice Address - Country:US
Practice Address - Phone:939-350-2635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education