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Contact Information

MIRELIS BETANCES, RDN
1000 EDDY ST
PROVIDENCE, RI02905-4739
 Phone: 401-533-9100
 Fax: 401-533-9105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MIRELIS BETANCES · (Female)

NPI Number 1043705635
Status Active
Credentials RDN
Entity Individual
Enumeration date 06/26/2018
Last updated 05/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • RI License # LDN00850
  • RI Medicaid ES01788
  • RI Other SB870 BLUE CROSS
  • RI Other 0614 NEIGHBORHOOD HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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