Active NPI
Milane Somary Medina Ortiz, LND, MHSN, DE-PR
- Nutritionist
- Carolina, PR
National Provider Identifier
1396459533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1267
- Practice address
- Carr. 857 KM 0.4
Bo. Canovanillas
Carolina, PR 00987 - Phone
- (787) 435-4392
- NPI assigned
- Jan 12, 2023
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1267 | PR | Primary |
Addresses
Primary practice location
Carr. 857 KM 0.4
Bo. Canovanillas
Carolina, PR 00987
Mailing address
An-33 Calle #32
Urb. Villas de Rio Grande
Rio Grande, PR 00745-2836
Phone (787) 435-4392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230526001498 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 9133586647 | Practice locations: Carolina, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1267 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1396459533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AN-33 CALLE #32",
"address_2": "URB. VILLAS DE RIO GRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007452836",
"telephone_number": "787-435-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 857 KM 0.4",
"address_2": "BO. CANOVANILLAS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-435-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA ORTIZ",
"first_name": "MILANE",
"middle_name": "SOMARY",
"credential": "LND, MHSN, DE-PR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.