Provider Demographics
NPI:1225327372
Name:QUINTERO, TERESA (RD)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:
Last Name:QUINTERO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 HANALIMA ST
Mailing Address - Street 2:F 104
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-8900
Mailing Address - Country:US
Mailing Address - Phone:808-634-3301
Mailing Address - Fax:808-246-2947
Practice Address - Street 1:3-3420 KUHIO HWY
Practice Address - Street 2:C/O FOOD AND NUTRITION SERVICES
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1042
Practice Address - Country:US
Practice Address - Phone:808-245-1166
Practice Address - Fax:808-246-2947
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA804039133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered