Provider Demographics
NPI:1073264859
Name:MARQUEZ QUESADA, CLAUDIA (MS, RDN)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:MARQUEZ QUESADA
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 SW 116TH CT APT 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1705
Mailing Address - Country:US
Mailing Address - Phone:786-346-5417
Mailing Address - Fax:
Practice Address - Street 1:6601 SW 116TH CT APT 301
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1705
Practice Address - Country:US
Practice Address - Phone:786-346-5417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND10097133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered