Carlo Rada

Individual provider Active NPI Registered Dietitian · Tamuning, GU

NPI 1346749546 · NPPES record last updated May 7, 2019

Key facts

NPI
1346749546
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone
(671) 647-2179
NPI assigned
Feb 3, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913

Mailing address

215 Summerville Dr Apt 1715
Tamuning, GU 96913-4386

Other practice location 1

263 Route 10
Barrigada, GU 96913-1337
Phone (671) 735-8000

Other providers in Tamuning, GU

All providers in Tamuning, GU · Registered Dietitian in Guam

Sources for this page

Verify at the official NPI Registry.