Healthcare Provider Details

I. General information

NPI: 1346181740
Provider Name (Legal Business Name): CRISTINA ATAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5936 ORCHARD AVE
DEARBORN MI
48126-2072
US

IV. Provider business mailing address

5936 ORCHARD AVE
DEARBORN MI
48126-2072
US

V. Phone/Fax

Practice location:
  • Phone: 786-966-9999
  • Fax:
Mailing address:
  • Phone: 786-966-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: