Active NPIIndividual providerSole proprietor

Evangeleena Manzanares, MS, RD, CDN

Dietitian, Registered in Bronx, New York

NPI Number1366035404
Practice location
111 E 210TH St, Bronx, NY 10467-2401
Fax
—
Last updated
October 20, 2023

Evangeleena Manzanares is a Dietitian, Registered based in Bronx, NY. Evangeleena Manzanares practices in Bronx, NY and has the professional credentials of MS, RD, CDN. The NPI Number for Evangeleena Manzanares is 1366035404 and holds a License No. 010733 (NY). The current practice location address for Evangeleena Manzanares is 111 E 210TH St, Bronx, NY 10467-2401 and can be reached out via phone at 718-920-4321.

Provider Profile Details

NPI Number
1366035404
Provider Name
Evangeleena Manzanares
Credential
MS, RD, CDN
Provider Entity Type
Individual
Gender
Female
Address
111 E 210TH St, Bronx, NY 10467-2401
Phone Number
718-920-4321
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 19, 2021
Last Update Date
October 20, 2023
Certification Date
October 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 E 210TH St
Bronx, NY 10467-2401
City
Bronx
Zip
10467-2401
Phone Number
718-920-4321
Bronx, NY 10467Get directions →

Provider Business Mailing Address Details

Address
257 W 117TH St
Apt 3G
New York, NY 10026-2187
City
New York
State
NY
Zip
10026-2187
Phone Number
646-918-0515

License Information

License Number
010733
License State
NY
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Evangeleena Manzanares, MS, RD, CDN?

The NPI number of Evangeleena Manzanares, MS, RD, CDN is 1366035404. It was assigned on February 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Evangeleena Manzanares, MS, RD, CDN?

Evangeleena Manzanares, MS, RD, CDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NY under license number 010733.

Where does Evangeleena Manzanares, MS, RD, CDN practice?

The practice location is 111 E 210TH St, Bronx, NY 10467-2401. The office can be reached at 718-920-4321 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366035404 directly on the NPPES registry website.

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