Provider Demographics
NPI:1407535180
Name:VARELA GARAT, MAYRA KAREN (RDN)
Entity Type:Individual
Prefix:MRS
First Name:MAYRA
Middle Name:KAREN
Last Name:VARELA GARAT
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CYPRESS PARK WAY APT J
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5078
Mailing Address - Country:US
Mailing Address - Phone:754-242-5998
Mailing Address - Fax:
Practice Address - Street 1:800 CYPRESS PARK WAY APT J
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5078
Practice Address - Country:US
Practice Address - Phone:754-242-5998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND10212133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered