Provider Demographics
NPI:1477262343
Name:DE ARAUJO, CAROLINA DOMINGUEZ (RDN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINA
Middle Name:DOMINGUEZ
Last Name:DE ARAUJO
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 1:15 PURITAN AVE
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-2412
Mailing Address - Country:US
Mailing Address - Phone:401-484-4320
Mailing Address - Fax:
Practice Address - Street 1:15 PURITAN AVE
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916-2412
Practice Address - Country:US
Practice Address - Phone:401-484-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN01131133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI86167323OtherCOMMISSION ON DIETETIC REGISTRATION