Provider Demographics
NPI:1730849555
Name:BELTRAN, XYOMARA (RDN)
Entity type:Individual
Prefix:
First Name:XYOMARA
Middle Name:
Last Name:BELTRAN
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 1:1000 GIROD ST APT 607
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-2005
Mailing Address - Country:US
Mailing Address - Phone:305-299-4447
Mailing Address - Fax:
Practice Address - Street 1:1000 GIROD ST APT 607
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-2005
Practice Address - Country:US
Practice Address - Phone:305-299-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL892539133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered