Individual
MIRELIS BETANCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
(401) 533-9105
Mailing address
450 VETERANS MEMORIAL PKWY STE 8C, EAST PROVIDENCE, RI 02914-5300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00850
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NEIGHBORHOOD HEALTH
RI
05
—
ES01788
—
RI
01
—
SB870
BLUE CROSS
RI
Enumeration date
06/26/2018
Last updated
05/31/2023
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