Teresa Rodriguez Bonilla, RDN. IFNCP. LDN, CLT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND3736 Issued in FL

Practice address

113 Calle Mallorca
San Juan, PR 00917-3125

Phone

(727) 366-9663

Fax

(317) 427-6078

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Teresa Rodriguez Former name

Medicare fee-for-service enrollment

Enrolled in FL, PR2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1104865914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CALLE MALLORCA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173125",
            "telephone_number": "727-366-9663",
            "fax_number": "317-427-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CALLE MALLORCA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173125",
            "telephone_number": "727-366-9663",
            "fax_number": "317-427-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ BONILLA",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "RDN. IFNCP. LDN, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "RODRIGUEZ",
            "credential": "RDN. IFNCP. LDN, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keila Marie Rodriguez Ayala, BSN
• Robinson Rodriguez Ballester
• Nilmar Rodriguez Batiz, M.D.
• Gabriela Rodriguez Bengochea, MD
• Dr. Maria del M. Rodriguez Berrios, N.D.
• Janice Rodriguez Brea, NL
• Jesus Daniel Rodriguez Cales, PHD
• Anamarys Rodriguez Camacho
• Anneliese Mariana Rodriguez Carmona, B.S
• Alexandra Rodriguez Cartagena

• Registered Dietitian in San Juan, PR
• Providers in San Juan, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.

Verify at the official NPI Registry.