Ileana Vicinaiz, RD, LD is a
Dietitian, Registered based in Palmhurst, Texas. Ileana Vicinaiz is licensed to practice in Texas (license number DT02610) and her current practice location is
2305 Country Ln, Palmhurst, Texas. She can be reached at her office (for appointments etc.) via phone at
(956) 519-7509.
NPI number for Ileana Vicinaiz is 1073875688 and her current mailing address is 2305 Country Ln, Palmhurst, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073875688.
Healthcare Provider's Profile
Full Name | Ileana Vicinaiz |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 2305 Country Ln, Palmhurst, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073875688
- Provider Enumeration Date: 06/10/2012
- Last Update Date: 06/10/2012
Medical Identifiers
Medical identifiers for Ileana Vicinaiz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073875688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DT02610 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ileana Vicinaiz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ileana Vicinaiz, RD, LD 2305 Country Ln, Palmhurst, TX 78573-8353 Ph: (956) 519-7509 | Ileana Vicinaiz, RD, LD 2305 Country Ln, Palmhurst, TX 78573-8353 Ph: (956) 519-7509 |
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