Provider Demographics
NPI:1417562760
Name:REGISTERED DIETITIAN SERVICES, LLC
Entity Type:Organization
Organization Name:REGISTERED DIETITIAN SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:RHAIZZA
Authorized Official - Middle Name:BEATRIZ
Authorized Official - Last Name:VELASQUEZ-GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:512-999-8389
Mailing Address - Street 1:3803 BARRINGTON ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4101
Mailing Address - Country:US
Mailing Address - Phone:512-999-8389
Mailing Address - Fax:210-610-8218
Practice Address - Street 1:3803 BARRINGTON ST APT 3C
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4101
Practice Address - Country:US
Practice Address - Phone:512-999-8389
Practice Address - Fax:210-610-8218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty