Provider Demographics
NPI:1942043625
Name:TRINIDAD OYOLA, YARITZA (LND)
Entity type:Individual
Prefix:
First Name:YARITZA
Middle Name:
Last Name:TRINIDAD OYOLA
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CALLE SOL DE LUNA
Mailing Address - Street 2:PARAISO DE GURABO
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-3741
Mailing Address - Country:US
Mailing Address - Phone:787-374-8736
Mailing Address - Fax:
Practice Address - Street 1:34 CALLE SOL DE LUNA
Practice Address - Street 2:PARAISO DE GURABO
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778-3741
Practice Address - Country:US
Practice Address - Phone:787-374-8736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2205133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered