Provider Demographics
NPI:1528739356
Name:ALVARADO BELLO, KARINA JOLENE (LND)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:JOLENE
Last Name:ALVARADO BELLO
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:PRADERAS DEL SUR
Mailing Address - Street 2:626 CALLE ALMENDRO
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-2038
Mailing Address - Country:US
Mailing Address - Phone:787-316-1168
Mailing Address - Fax:
Practice Address - Street 1:SECTOR ACHIOTE
Practice Address - Street 2:TIERRA SANTA
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-5000
Practice Address - Country:US
Practice Address - Phone:787-316-1168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2058133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist