Provider Demographics
NPI:1457523227
Name:MOLINA, ARTURO M (RD,LD/N)
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:M
Last Name:MOLINA
Suffix:
Gender:M
Credentials:RD,LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10825 SW 112TH AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-3274
Mailing Address - Country:US
Mailing Address - Phone:305-495-4466
Mailing Address - Fax:
Practice Address - Street 1:10825 SW 112TH AVE APT 307
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-3274
Practice Address - Country:US
Practice Address - Phone:305-495-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4956133N00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist