| Mr Ivan Zacarias, RD, IBCLC | |
|
3807 N 7th St, Phoenix, AZ 85014-5005 | |
| (480) 407-4280 | |
| Not Available |
| Full Name | Mr Ivan Zacarias |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 3807 N 7th St, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801509930 | NPI | - | NPPES |
| NA | Other | NONE AVAILABLE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86064802 (Arizona) | Primary |
| 174N00000X | Lactation Consultant, Non-rn | L-152783 (Arizona) | Secondary |
| Provider Name | Valle Del Sol Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831344035 PECOS PAC ID: 8628019148 Enrollment ID: O20050516000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ivan Zacarias, RD, IBCLC 3877 N 7th St Fl 4, Phoenix, AZ 85014-5072 Ph: (480) 407-4280 | Mr Ivan Zacarias, RD, IBCLC 3807 N 7th St, Phoenix, AZ 85014-5005 Ph: (480) 407-4280 |
Mrs. Maria T Escobar, CSP, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 480-440-2787 |
Jennie Altman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 |
Mrs. Danielle Lafata, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3509 N 32nd St, Phoenix, AZ 85018 Phone: 480-399-7246 |
Laura Grace Simmons, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2713 W Pecan Rd, Phoenix, AZ 85041 Phone: 253-470-8399 Fax: 866-540-3225 |
Mrs. Erika Josephine Rosales, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 2214 E Blanche Dr, Phoenix, AZ 85022 Phone: 520-425-9698 |
Melanie Shay Colville, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 222 W Thomas Rd, Suite 304, Phoenix, AZ 85013 Phone: 602-406-3611 Fax: 602-406-4363 |
Laura Lee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 635 E Baseline Rd, Phoenix, AZ 85042 Phone: 602-243-7277 Fax: 602-243-1235 |