Provider Demographics
NPI:1932908068
Name:MILLAN, ZAMELY MARIE (LND)
Entity type:Individual
Prefix:
First Name:ZAMELY
Middle Name:MARIE
Last Name:MILLAN
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 1:124 CALLE DR VEVE APT 1622
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-6143
Mailing Address - Country:US
Mailing Address - Phone:787-593-5293
Mailing Address - Fax:
Practice Address - Street 1:124 CALLE DR VEVE APT 1622
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6143
Practice Address - Country:US
Practice Address - Phone:787-593-5293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2282133NN1002X, 133N00000X
PR1030174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174H00000XOther Service ProvidersHealth Educator