Provider Demographics
NPI:1417771189
Name:NAVARRO MENDOZA, FIORELLA M (RDN)
Entity type:Individual
Prefix:
First Name:FIORELLA
Middle Name:M
Last Name:NAVARRO MENDOZA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 RAY ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-3734
Mailing Address - Country:US
Mailing Address - Phone:973-391-4351
Mailing Address - Fax:
Practice Address - Street 1:220 PASSAIC ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-6460
Practice Address - Country:US
Practice Address - Phone:201-210-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered