Provider Demographics
NPI:1801409917
Name:MAUREEN RIERAS LLC
Entity Type:Organization
Organization Name:MAUREEN RIERAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIERAS
Authorized Official - Suffix:
Authorized Official - Credentials:CNS LDN
Authorized Official - Phone:773-510-6626
Mailing Address - Street 1:4701 WILLARD AVE APT 1110
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4624
Mailing Address - Country:US
Mailing Address - Phone:773-510-6626
Mailing Address - Fax:
Practice Address - Street 1:4701 WILLARD AVE APT 1110
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4624
Practice Address - Country:US
Practice Address - Phone:773-510-6626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty