Provider Demographics
NPI:1013713965
Name:COCOA HEALTH & NUTRITION
Entity type:Organization
Organization Name:COCOA HEALTH & NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:
Authorized Official - Last Name:BENADIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:305-409-0943
Mailing Address - Street 1:7419 AVENIDA DEL MAR APT 2706
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4873
Mailing Address - Country:US
Mailing Address - Phone:305-409-0943
Mailing Address - Fax:
Practice Address - Street 1:7419 AVENIDA DEL MAR APT 2706
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-4873
Practice Address - Country:US
Practice Address - Phone:305-409-0943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty