Provider Demographics
NPI:1942066683
Name:YEPEZ-BERKELEY, NATASHA JADE (RDN)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:JADE
Last Name:YEPEZ-BERKELEY
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 1:8522 SW 103RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3957
Mailing Address - Country:US
Mailing Address - Phone:305-610-8586
Mailing Address - Fax:
Practice Address - Street 1:4306 ALTON RD FL 2
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2840
Practice Address - Country:US
Practice Address - Phone:305-674-2202
Practice Address - Fax:305-674-2863
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered