NPI 1669010351

Island Natural Health Food

Organisation Medical Foods Supplier Ponce, PR

Practice location

Address: 245 Calle Rosa Urb. Ferry Barranca, Ponce, PR 00730-4322
Phone: (787) 813-1123
Mailing address: Hacienda Las Vegas 117 Calle Gaviota, Juana Diaz, PR 00795-7003

Authorised official

Name: Ramon Antonio Pagan de Jesus
Title: Owner
Phone: (787) 813-1123

Registered specialties

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X

Other Medical Foods Supplier providers in Puerto Rico →

Registry record

NPI: 1669010351
Entity type: Organization
NPI issued: 13 Dec 2019
Record last updated: 13 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.