Individual provider Active NPI

Mauricio De la Cera, MS RD LD/N

  • Registered Dietitian
  • Coral Springs, FL
National Provider Identifier
1134927346
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1063195 Issued in FL
Practice address
5344 N Springs Way
Coral Springs, FL 33076-2609
Phone
(561) 816-8208
NPI assigned
Mar 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1063195 FL Primary

Addresses

Primary practice location

5344 N Springs Way
Coral Springs, FL 33076-2609

Mailing address

5344 N Springs Way
Coral Springs, FL 33076-2609
Phone (561) 816-8208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1063195FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1134927346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 N SPRINGS WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762609",
            "telephone_number": "561-816-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5344 N SPRINGS WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762609",
            "telephone_number": "561-816-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CERA",
        "first_name": "MAURICIO",
        "credential": "MS RD LD/N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "1063195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.