Provider Demographics
NPI:1124767348
Name:RICANO CADENAS, XIUNELY (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:XIUNELY
Middle Name:
Last Name:RICANO CADENAS
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:XIUNELY
Other - Middle Name:
Other - Last Name:RICANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:306 ORCHARD WILLOW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-1791
Mailing Address - Country:US
Mailing Address - Phone:956-353-1326
Mailing Address - Fax:
Practice Address - Street 1:111 DALLAS ST FL 4
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-1201
Practice Address - Country:US
Practice Address - Phone:210-297-7195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-04
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT86151133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered