NPI 1518692532

Kennie Rivera Russe, RDNLND

Practitioner Registered Dietitian Manati, PR

Practice location

Address: Carr. 685 Km 1.9 Bo. Tierras Nuevas, Manati, PR 00674
Phone: (787) 562-1099
Mailing address: Condominio Cadiz 253 Calle Chile APT. 4c, San Juan, PR 00917

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1699 (PR)

Other Dietitian, Registered providers in Puerto Rico →

Registry record

NPI: 1518692532
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2022
Record last updated: 22 Jul 2022

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.