Individual
MISS ARACELIS LOPEZ QUINONEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3199
Mailing address
5 CALLE JOSE P H HERNANDEZ, RIO GRANDE, PR 00745-2931
(787) 550-7783
(787) 734-4129
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1293
PR
133V00000X
Registered Dietitian
ND7870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JF512Z
MEDICARE ID
FL
Enumeration date
07/28/2006
Last updated
01/30/2018
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