Provider Demographics
NPI:1134744154
Name:FIGALLO, VERONICA A
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:A
Last Name:FIGALLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 SILK OAK DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1409
Mailing Address - Country:US
Mailing Address - Phone:202-640-8558
Mailing Address - Fax:
Practice Address - Street 1:1426 SILK OAK DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1409
Practice Address - Country:US
Practice Address - Phone:202-640-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2023-06-12
Deactivation Date:2020-08-12
Deactivation Code:
Reactivation Date:2023-06-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered