Provider Demographics
NPI:1700565538
Name:SCHNEIDER SANTOS, CRISTHIANE (MS, RD, LD/N, CDCES)
Entity Type:Individual
Prefix:
First Name:CRISTHIANE
Middle Name:
Last Name:SCHNEIDER SANTOS
Suffix:
Gender:F
Credentials:MS, RD, LD/N, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 S MILITARY TRL APT 572
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7637
Mailing Address - Country:US
Mailing Address - Phone:305-467-5184
Mailing Address - Fax:
Practice Address - Street 1:1266 S MILITARY TRL APT 572
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7637
Practice Address - Country:US
Practice Address - Phone:305-467-5184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND7288133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty