Provider Demographics
NPI:1629442843
Name:ALFARO, DANIELA (MS, RD)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:ALFARO
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:
Other - Last Name:VELASTEGUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:5 VERDON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-4130
Mailing Address - Country:US
Mailing Address - Phone:908-421-2080
Mailing Address - Fax:
Practice Address - Street 1:5 VERDON ST
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-4130
Practice Address - Country:US
Practice Address - Phone:908-421-2080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-26
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered