| Desert View Dietitians Llc | |
|
5625 Woodrow Bean Ste 117 El Paso TX 79924-4125 | |
| (915) 243-2370 | |
| Not Available |
| Full Name | Desert View Dietitians Llc |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 5625 Woodrow Bean Ste 117, El Paso, Texas |
| Authorized Official Name and Position | Ruth Alicia Miranda (DIETITIAN) |
| Authorized Official Contact | 9152432370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert View Dietitians Llc 722 El Paseo Dr Chaparral NM 88081-7517 Ph: (915) 243-2370 | Desert View Dietitians Llc 5625 Woodrow Bean Ste 117 El Paso TX 79924-4125 Ph: (915) 243-2370 |
| NPI Number | 1245907401 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 11/08/2022 |
| Medicare PECOS PAC ID | 7416348487 |
|---|---|
| Medicare Enrollment ID | O20211230000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245907401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Ruth Alicia Miranda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871124396 PECOS PAC ID: 8325439391 Enrollment ID: I20211230000158 |
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