Provider Demographics
NPI:1154801769
Name:ADAME, AURORA ESMERALDA (RD, LDN)
Entity type:Individual
Prefix:MS
First Name:AURORA
Middle Name:ESMERALDA
Last Name:ADAME
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:AURORA
Other - Middle Name:E
Other - Last Name:ADAME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:127 N MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-2653
Mailing Address - Country:US
Mailing Address - Phone:956-975-0004
Mailing Address - Fax:
Practice Address - Street 1:127 N MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2653
Practice Address - Country:US
Practice Address - Phone:956-975-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT85073133NN1002X, 133VN1004X, 133VN1005X, 133VN1006X, 133V00000X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No133N00000XDietary & Nutritional Service ProvidersNutritionist