Provider Demographics
NPI:1538878970
Name:HINOJOSA, ILIANA IRENE (RDN)
Entity type:Individual
Prefix:MISS
First Name:ILIANA
Middle Name:IRENE
Last Name:HINOJOSA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1229
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78540-1229
Mailing Address - Country:US
Mailing Address - Phone:956-380-0798
Mailing Address - Fax:956-380-0550
Practice Address - Street 1:3204 S SUGAR RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3693
Practice Address - Country:US
Practice Address - Phone:956-380-0798
Practice Address - Fax:956-380-0550
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered