MEDICARE: DESIDERIO ABEYTA RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1124579701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESIDERIO ABEYTA RDN

Provider Business Mailing Address
First Line	:	7090 N. ORACLE RD.
Second Line	:	STE 178 #3137
City	:	TUCSON
State	:	AZ
Zip	:	85704
Country	:	US
Telephone Number	:	520-260-2443
Fax Number	:	520-482-0385

Provider Business Practice Location Address
First Line	:	7090 N ORACLE RD STE 178
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-4383
Country	:	US
Telephone Number	:	520-260-2443
Fax Number	:	520-482-0385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2016
Last Update Date	:	12/10/2025

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