Coralis Fernandez Semidey

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1552 Issued in PR

Practice address

392 Calle Ramon E Betances Sur
Mayaguez, PR 00681

Phone

(787) 805-2900

NPI assigned

Jun 20, 2014

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

Practice roles

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

• Migrant Health Center Western Region, Inc.

  • Radiology Clinic/Center
  • Las Marias, PR
  • NPI 1508453051
  NPD (past)

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1194130831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810190",
            "telephone_number": "787-831-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 CALLE RAMON E BETANCES SUR",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00681",
            "telephone_number": "787-805-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ SEMIDEY",
        "first_name": "CORALIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Feliciano
• Elia Roxana Feliciano, LND
• Domingo Feliu Rosado, MD
• Felix M Rivera Borges, CSP
• Ferdinand Rivera Villalba C.S.P.
• Pedro Fernandez, PHD
• Pedro J Fernandez, M.D.
• Sandra M Fernandez, M.D.
• Werner M Fernandez, M.D.
• Willy Amaury Fernandez, PH.D.

• Nutritionist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.