| Alejandro Troncoso, RD | |
|
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | |
| (509) 633-1753 | |
| Not Available |
| Full Name | Alejandro Troncoso |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 8 Years |
| Location | 411 Fortuyn Rd, Grand Coulee, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306500988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86110323 (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital A Div Of Taos Health Systems | Taos, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Taos Health Systems Inc Holy Cross Hospital | 8224937412 | 38 |
| Provider Name | Taos Health Systems Inc Holy Cross Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
| Provider Name | Taos Professional Services,llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891070777 PECOS PAC ID: 6507019924 Enrollment ID: O20130116000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Alejandro Troncoso, RD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: () - | Alejandro Troncoso, RD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1753 |
Grace Ruth Heaton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-6373 | |
Jacie L Van Blaricom, DI Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933 |