Gisela Marie Matos, RDN, LND

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86109878 Issued in PR

Practice address

Carr. 411 KM 2.2 Int. Jagey
Aguada, PR 00602

Phone

(787) 362-8219

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Costa Salud Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rincon, PR
  • NPI 1912997768
  Medicare reassignment NPD
• Costa Salud Community Health Centers, Inc

  • Clinical Medical Laboratory
  • Moca, PR
  • NPI 1396517082
  NPD
• Costa Salud Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Moca, PR
  • NPI 1548807951

  Nutritionist

  NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124613807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 60 BOX 29240-2",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029232",
            "telephone_number": "787-362-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 411 KM 2.2 INT. JAGEY",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-362-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "GISELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2022-07-21",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "86109878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose T. Martinez, M.D.
• Freddy Mas Vargas, MT
• Bethzaida Matias Roman, M.T.
• William Matos Quintana
• Carla Isadora Matos Sosa, ND
• Mayra Villanueva Pagan
• Mecaaguada,Inc
• Med Solutions Inc
• Medica Movil de Puerto Rico Inc.
• Medical EMS Inc

• Registered Dietitian in Aguada, PR
• Providers in Aguada, 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 Jul 21, 2022; 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.