Provider Demographics
NPI:1992536049
Name:BELEN, ANGEL (LND, MS)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:BELEN
Suffix:
Gender:
Credentials:LND, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB OLYMPIC VILLE CALLE SYDNEY
Mailing Address - Street 2:B14 BOX 100
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-631-6910
Mailing Address - Fax:
Practice Address - Street 1:URB OLYMPIC VILLE CALLE SYDNEY
Practice Address - Street 2:B14 BOX 100
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-631-6910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2111133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education