Provider Demographics
NPI:1972325710
Name:HULIAN, MARIANA ISABEL (RD)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:ISABEL
Last Name:HULIAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11473 NW 83RD WAY
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1795
Mailing Address - Country:US
Mailing Address - Phone:786-556-8340
Mailing Address - Fax:
Practice Address - Street 1:11473 NW 83RD WAY
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1795
Practice Address - Country:US
Practice Address - Phone:786-556-8340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11589133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered