Provider Demographics
NPI:1770620270
Name:GARIB, ABILIA E (MHSN, LND)
Entity type:Individual
Prefix:MRS
First Name:ABILIA
Middle Name:E
Last Name:GARIB
Suffix:
Gender:F
Credentials:MHSN, LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CALLE 1A
Mailing Address - Street 2:ALTURAS DE BERWIND
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2465
Mailing Address - Country:US
Mailing Address - Phone:787-752-4318
Mailing Address - Fax:
Practice Address - Street 1:7 CALLE 1A
Practice Address - Street 2:ALTURAS DE BERWIND
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-2465
Practice Address - Country:US
Practice Address - Phone:787-752-4318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1430133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1430OtherNUTRITIONIST-DIETITIAN