Provider Demographics
NPI:1992895023
Name:SIEVENS-FIGUEROA, ELAINE (LDN)
Entity type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:
Last Name:SIEVENS-FIGUEROA
Suffix:
Gender:F
Credentials:LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 561777
Mailing Address - Street 2:BO MACANA CARR 132 KM 3.7 INTEIOR
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-4217
Mailing Address - Country:US
Mailing Address - Phone:787-835-6437
Mailing Address - Fax:
Practice Address - Street 1:URB. JARDINES DE FAGOT CASA T-1 CALLE15
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00733
Practice Address - Country:US
Practice Address - Phone:787-259-3623
Practice Address - Fax:787-841-3057
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1283133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education