RGV Nutrition 4 Life LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT80162 Issued in TX

Legal business name

RGV NUTRITION 4 LIFE LLC

Practice address

4309 N 10TH St
Suite C
McAllen, TX 78504-3008

Phone

(956) 630-5433

Fax

(956) 630-6389

NPI assigned

Dec 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ilerette Ramirez, RD/LD

Title

Registered Dietitian/Owner

Phone

(956) 458-0874

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1730425976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 N 10TH ST",
            "address_2": "SUITE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043008",
            "telephone_number": "956-630-5433",
            "fax_number": "956-630-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 N 10TH ST",
            "address_2": "SUITE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043008",
            "telephone_number": "956-630-5433",
            "fax_number": "956-630-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV NUTRITION 4 LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ILERETTE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "956-458-0874",
        "authorized_official_credential": "RD/LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT80162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in McAllen, TX
• Providers in McAllen, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.