Provider Demographics
NPI:1255508016
Name:SUAZO, DALILA (RD, LD/N)
Entity Type:Individual
Prefix:MS
First Name:DALILA
Middle Name:
Last Name:SUAZO
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 SW 43RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5139
Mailing Address - Country:US
Mailing Address - Phone:305-607-2524
Mailing Address - Fax:305-740-9502
Practice Address - Street 1:6600 SW 43RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5139
Practice Address - Country:US
Practice Address - Phone:305-607-2524
Practice Address - Fax:305-740-9502
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLD4609133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered