Provider Demographics
NPI:1215772843
Name:THE BILINGUAL RENAL DIETITIAN, PLLC
Entity type:Organization
Organization Name:THE BILINGUAL RENAL DIETITIAN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, BILINGUAL RENAL DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIM-SEPULVEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:623-777-9396
Mailing Address - Street 1:1846 E INNOVATION PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1963
Mailing Address - Country:US
Mailing Address - Phone:623-777-9396
Mailing Address - Fax:480-612-0113
Practice Address - Street 1:1846 E INNOVATION PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1963
Practice Address - Country:US
Practice Address - Phone:623-777-9396
Practice Address - Fax:480-612-0113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Single Specialty