Provider Demographics
NPI:1699516740
Name:MUNOZ, CAROLINA (RD, LD)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 E 11TH ST APT 361
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-1980
Mailing Address - Country:US
Mailing Address - Phone:956-740-7789
Mailing Address - Fax:
Practice Address - Street 1:811 E 11TH ST APT 361
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-1980
Practice Address - Country:US
Practice Address - Phone:956-740-7789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86292624133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered