Provider Demographics
NPI:1164161378
Name:GIRALDO, VERONICA (RD, LD)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:GIRALDO
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3533 TEXAS TRL
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-6005
Mailing Address - Country:US
Mailing Address - Phone:718-502-5152
Mailing Address - Fax:
Practice Address - Street 1:3533 TEXAS TRL
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-6005
Practice Address - Country:US
Practice Address - Phone:718-502-5152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT87600133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered