Provider Demographics
NPI:1942240049
Name:PRATS LOZADA, NORMA IRIS (LND)
Entity type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:IRIS
Last Name:PRATS LOZADA
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1937 CALLE 46
Mailing Address - Street 2:URB. FAIRVIEW
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-7636
Mailing Address - Country:US
Mailing Address - Phone:787-292-1552
Mailing Address - Fax:787-763-4278
Practice Address - Street 1:1056 CALLE FERROCARRIL
Practice Address - Street 2:SUITE #1
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925-3028
Practice Address - Country:US
Practice Address - Phone:787-764-8937
Practice Address - Fax:787-763-4278
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR237133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRNUT / 012OtherPREFERRED HEALTH PLAN
PR56638Medicare ID - Type UnspecifiedTRIPLE S