Provider Demographics
NPI:1649690785
Name:PR NUTRITION CONSULTING, PLLC
Entity type:Organization
Organization Name:PR NUTRITION CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:RAMON-ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD/LD
Authorized Official - Phone:956-424-2274
Mailing Address - Street 1:8025 N 10TH ST STE 160
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-9432
Mailing Address - Country:US
Mailing Address - Phone:956-458-5122
Mailing Address - Fax:
Practice Address - Street 1:8025 N 10TH ST STE 160
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-9432
Practice Address - Country:US
Practice Address - Phone:956-458-5122
Practice Address - Fax:956-467-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-16
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1013338037OtherPERSONAL NPI