Individual
MRS. ROSALBA BOLIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,LD LN
Contact information
Practice address
1611 NW 12TH AVE, ACC EAST 1ST FLOOR, MIAMI, FL 33136-1005
(305) 585-5241
(305) 585-5065
Mailing address
8550 DUNDEE TER, MIAMI LAKES, FL 33016-1405
(305) 556-8562
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1208
FL
Other
Enumeration date
11/19/2008
Last updated
10/21/2014
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