Active NPI
Anaitsi Hernandez Mendoza, LND
- Registered Dietitian
- Moca, PR
National Provider Identifier
1013682269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1968
- Practice address
- Carr 110 KM 12.1 Esq Calle Monsenor Torres
Bo Pueblo Hosp. San Carlos Borromeo
Moca, PR 00676-9112 - Phone
- (787) 877-8000
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1968 | PR | Primary |
Addresses
Primary practice location
Carr 110 KM 12.1 Esq Calle Monsenor Torres
Bo Pueblo Hosp. San Carlos Borromeo
Moca, PR 00676-9112
Mailing address
HC 5 Box 50380
Aguadilla, PR 00603-9112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502001128 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 9032559422 | Practice locations: Moca, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1013682269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 50380",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006039112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 110 KM 12.1 ESQ CALLE MONSENOR TORRES",
"address_2": "BO PUEBLO HOSP. SAN CARLOS BORROMEO",
"city": "MOCA",
"state": "PR",
"postal_code": "006769112",
"telephone_number": "787-877-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ MENDOZA",
"first_name": "ANAITSI",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2024-04-09",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moca, PR
- Healing Hands Medical Transportation LLC
- Ines Marie Hernandez Arbelo, MD
- Rene E Hernandez Cordero, MD
- Jamalie Hernandez de la Cruz, PS.L
- Illiad E Hernandez Lopez, T M
- Nydia Iris Hernandez Rivera, PSIC IT-O
- Yelitza Hernandez Soto
- Lidibeth Hernandez Villanueva, RN
- Savier Hernandez-Cordero, P.T.
- Abigail Hernandez, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.