1477262343 NPI number — MRS. CAROLINA DOMINGUEZ DE ARAUJO RDN

Table of content: MRS. CAROLINA DOMINGUEZ DE ARAUJO RDN (NPI 1477262343)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477262343 NPI number — MRS. CAROLINA DOMINGUEZ DE ARAUJO RDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DE ARAUJO
Provider First Name:
CAROLINA
Provider Middle Name:
DOMINGUEZ
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477262343
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 PURITAN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RUMFORD
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02916-2412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-484-4320
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 WARREN AVE STE 2R
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST PROVIDENCE
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02914-3826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-217-9306
Provider Business Practice Location Address Fax Number:
866-635-3202
Provider Enumeration Date:
11/21/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  LDN01131 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 86167323 . This is a "COMMISSION ON DIETETIC REGISTRATION" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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