Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edwill Burgos-Velazquez, LCDO

Individual provider Nutrition Education Nutritionist · NPI 1679963722

Edwill Burgos-Velazquez, LCDO is a Registered Dietitian OR Nutrition Professional in Coamo, Puerto Rico. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
12
Licensed in
PR
In the registry since
2015
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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

2 Calle Segundo Bernier
Coamo, PR 00769-3036
Phone: (787) 803-8221
Fax: (787) 537-7071

No coordinates on file. Search this address in Google Maps

Specialties & licences

Nutrition Education Nutritionist (primary) Taxonomy 133NN1002X · Licence 1897 (PR)

Record details

NPI number1679963722
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDO
Sole proprietorYes
NPI enumeratedJanuary 28, 2015
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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