Provider Demographics
NPI:1861099970
Name:CAETANO, PAULA THAMIRES (MS, RDN)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:THAMIRES
Last Name:CAETANO
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:PAULA THAMIRES
Other - Middle Name:
Other - Last Name:DA SILVA SANTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1880 CAMINO DE LA REINA # 1100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1539
Mailing Address - Country:US
Mailing Address - Phone:619-537-9777
Mailing Address - Fax:
Practice Address - Street 1:1880 CAMINO DE LA REINA # 1100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1539
Practice Address - Country:US
Practice Address - Phone:619-537-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered