MEDICARE: PATRICIA CAROLINA PEREZ ASUAJE 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	11633	FL

General Provider Information

NPI Number	:	1801507231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA CAROLINA PEREZ ASUAJE RDN

Provider Business Mailing Address
First Line	:	1753 FLINTWOOD DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-4129
Country	:	US
Telephone Number	:	404-483-2053
Fax Number	:

Provider Business Practice Location Address
First Line	:	1753 FLINTWOOD DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-4129
Country	:	US
Telephone Number	:	404-483-2053
Fax Number	:

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

Provider Enumeration Date	:	12/06/2022
Last Update Date	:	01/05/2026

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