Provider Demographics
NPI:1235655796
Name:CURIOUSMINDRD LLC
Entity Type:Organization
Organization Name:CURIOUSMINDRD LLC
Other - Org Name:CURIOUS MIND RD, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, IFNCP, LDN, CLT
Authorized Official - Phone:727-366-9963
Mailing Address - Street 1:2681 ROOSEVELT BLVD APT 5206
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-2978
Mailing Address - Country:US
Mailing Address - Phone:727-366-9963
Mailing Address - Fax:317-427-6078
Practice Address - Street 1:113 CALLE MALLORCA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-3125
Practice Address - Country:US
Practice Address - Phone:727-366-9963
Practice Address - Fax:317-427-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty