Provider Demographics
NPI:1992732564
Name:ALVAREZ VEGA, YARELLY (RD, LND, CDE)
Entity type:Individual
Prefix:MRS
First Name:YARELLY
Middle Name:
Last Name:ALVAREZ VEGA
Suffix:
Gender:F
Credentials:RD, LND, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 CALLE NEVAREZ
Mailing Address - Street 2:COND LOS OLMOS APT 2I
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-4522
Mailing Address - Country:US
Mailing Address - Phone:787-245-9469
Mailing Address - Fax:
Practice Address - Street 1:DIABETES CENTER OF PUERTO RICO
Practice Address - Street 2:PRIMER PISO DECANATO DE FARMACIA CENTRO MEDICO DE PR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-8344
Practice Address - Country:US
Practice Address - Phone:787-773-8283
Practice Address - Fax:787-773-8303
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1338133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR005-7244Medicare ID - Type UnspecifiedREGISTERED DIETITIAN
PRQ-44237Medicare UPIN