Provider Demographics
NPI:1396362190
Name:OCHOA, DANIELA (MS, RD)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:OCHOA
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4406 NW 74TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TORRE LES ELYSSES, ANACAONA #95
Practice Address - Street 2:
Practice Address - City:SANTO DOMINGO
Practice Address - State:SANTO DOMINGO
Practice Address - Zip Code:00000
Practice Address - Country:DO
Practice Address - Phone:829-341-5016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010092133VN1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management