Provider Demographics
NPI: | 1376372573 |
---|---|
Name: | AGUADO, MARIA |
Entity type: | Individual |
Prefix: | |
First Name: | MARIA |
Middle Name: | |
Last Name: | AGUADO |
Suffix: | |
Gender: | F |
Credentials: | |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 60 SW 13TH ST APT 3204 |
Mailing Address - Street 2: | |
Mailing Address - City: | MIAMI |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33130-4356 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 60 SW 13TH ST APT 3204 |
Practice Address - Street 2: | |
Practice Address - City: | MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33130-4356 |
Practice Address - Country: | US |
Practice Address - Phone: | 786-693-3308 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2024-07-29 |
Last Update Date: | 2024-07-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
No | 133N00000X | Dietary & Nutritional Service Providers | Nutritionist | |
No | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education |
No | 133VN1004X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Pediatric |
No | 133VN1005X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Renal |
No | 133VN1006X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Metabolic |
No | 133VN1101X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Gerontological |
No | 133VN1201X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Obesity and Weight Management |
No | 133VN1301X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Oncology |
No | 133VN1401X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Pediatric Critical Care |
No | 133VN1501X | Dietary & Nutritional Service Providers | Dietitian, Registered | Nutrition, Sports Dietetics |