Provider Demographics
NPI:1558702977
Name:GARCIA, NATALIA (RD, LDN, CISSN)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RD, LDN, CISSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-1846
Mailing Address - Country:US
Mailing Address - Phone:786-343-5000
Mailing Address - Fax:941-567-6639
Practice Address - Street 1:818 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-1846
Practice Address - Country:US
Practice Address - Phone:786-343-5000
Practice Address - Fax:941-567-6639
Is Sole Proprietor?:No
Enumeration Date:2013-07-14
Last Update Date:2013-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND6527133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered