Ms Yira Mercedes Diaz Mena, | |
1454 Madison Ave W, Immokalee, FL 34142-2200 | |
(239) 658-3000 | |
Not Available |
Full Name | Ms Yira Mercedes Diaz Mena |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1454 Madison Ave W, Immokalee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841877180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | ND10371 (Florida) | Primary |
Provider Name | Collier Health Services, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609827211 PECOS PAC ID: 4183521925 Enrollment ID: O20040210000106 |
Mailing Address | Practice Location Address |
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Ms Yira Mercedes Diaz Mena, 1454 Madison Ave W, Immokalee, FL 34142-2200 Ph: (239) 658-3707 | Ms Yira Mercedes Diaz Mena, 1454 Madison Ave W, Immokalee, FL 34142-2200 Ph: (239) 658-3000 |
Miss Nohely Torres, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 429 N 1st St, Immokalee, FL 34142 Phone: 619-591-6763 | |
Miss Aracelis Lopez Quinonez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3199 | |
Marie E Pierrelus, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 429 N 1st St, Immokalee, FL 34142 Phone: 239-571-9015 | |
Ruth Davies, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3064 Fax: 239-658-3175 |