Provider Demographics
NPI:1093360554
Name:MONROY, CAROLINA A (RD, LDN)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:A
Last Name:MONROY
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14346 SW 98TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8818
Mailing Address - Country:US
Mailing Address - Phone:786-408-7318
Mailing Address - Fax:786-408-7508
Practice Address - Street 1:14346 SW 98TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8818
Practice Address - Country:US
Practice Address - Phone:786-286-6622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-01
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND9354133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered