Viviana Cordoba
Individual provider Active NPI Nutritionist · Opa Locka, FL
NPI 1912439860 · NPPES record last updated Mar 30, 2017
Key facts
- NPI
- 1912439860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 410 Jann Ave Apt 1
Opa Locka, FL 33054-3385 - Phone
- (954) 662-3810
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | FL | Yes |
Addresses
Primary practice location
410 Jann Ave Apt 1
Opa Locka, FL 33054-3385
Mailing address
410 Jann Ave Apt 1
Opa Locka, FL 33054-3385
Other providers in Opa Locka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.