Provider Demographics
NPI:1780904805
Name:ARAIZA ROJAS, ANA E (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:E
Last Name:ARAIZA ROJAS
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 S. PARK AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85714
Mailing Address - Country:US
Mailing Address - Phone:520-746-5001
Mailing Address - Fax:520-573-9607
Practice Address - Street 1:3939 S. PARK AVE
Practice Address - Street 2:SUITE 150 CMG SOUTHWEST
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714
Practice Address - Country:US
Practice Address - Phone:520-746-5001
Practice Address - Fax:520-573-9607
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ963957133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered