Provider Demographics
NPI:1528636313
Name:RODRIGUEZ-CARAVEZ, ZINNYA ALEXIA (RD)
Entity type:Individual
Prefix:MRS
First Name:ZINNYA
Middle Name:ALEXIA
Last Name:RODRIGUEZ-CARAVEZ
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 1:19495 YUMA ST
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-3238
Mailing Address - Country:US
Mailing Address - Phone:650-454-4852
Mailing Address - Fax:
Practice Address - Street 1:32970 ALVARADO NILES RD STE 760
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3194
Practice Address - Country:US
Practice Address - Phone:510-471-5913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86096250133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered