Provider Demographics
NPI:1053424309
Name:AGRONT, OLGA N (LND, DE, MBA)
Entity type:Individual
Prefix:MISS
First Name:OLGA
Middle Name:N
Last Name:AGRONT
Suffix:
Gender:F
Credentials:LND, DE, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CONDOMINIO TORRE DE LOS FRAILES 2080
Mailing Address - Street 2:APT,10-A
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-309-5723
Mailing Address - Fax:
Practice Address - Street 1:CONDOMINIO TORRE DE LOS FRAILES 2080
Practice Address - Street 2:APT,10-A
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-309-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2009-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1370133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education