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NPI Code Detail

MEDICARE: ELVIA MADRID RDN, CDCES

MEDICARE:   ELVIA  MADRID  RDN, CDCES
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
1133V00000XRegistered Dietitian86049899AZ

General Provider Information

NPI Number : 1891232351
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELVIA MADRID RDN, CDCES
Provider Business Mailing Address
First Line : 1746 W GLENROSA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-4736
Country : US
Telephone Number : 602-616-1685
Fax Number :
Provider Business Practice Location Address
First Line : 1746 W GLENROSA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-4736
Country : US
Telephone Number : 602-616-1685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2017
Last Update Date : 03/19/2026

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Directions to “ ELVIA MADRID RDN, CDCES” Practice Location

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