Provider Demographics
NPI:1518751924
Name:BUITRAGO DIAZ, MARIA PAULA (RD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:PAULA
Last Name:BUITRAGO DIAZ
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 GREAT VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-2320
Mailing Address - Country:US
Mailing Address - Phone:205-901-1975
Mailing Address - Fax:
Practice Address - Street 1:304 GREAT VIEW CIR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-2320
Practice Address - Country:US
Practice Address - Phone:205-901-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5602133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered