Kiaraliz Cruz-Montero, RDN
Individual provider Active NPI Registered Dietitian · Hato Rey, PR
NPI 1528667342 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1528667342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86115779 (PR)
- Practice address
- Ave. Juan Ponce de Leon Parada 37 1/2
Hato Rey, PR 00919 - Phone
- (787) 758-2000
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pro Health Clinical Services LLC
Practice addresses (Care Compare)
Edificio 36 Calle Barbosa
Esquina Rosy
Bayamon, PR 00960
Phone (787) 269-6590
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210122000657 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 6901210533 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2155 | PR | MD | General Practice Dentistry |
| 86115779 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro-Health Clinical Services LLC | Current |
Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current |
Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Nutritionist | Current |
Accepting new patients |
Locations
36 Calle Barbosa
Bayamon, PR 00961
J20 Calle 2
Bayamon, PR 00959
Phone (787) 261-5333
715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86115779 | PR | Yes |
Addresses
Primary practice location
Ave. Juan Ponce de Leon Parada 37 1/2
Hato Rey, PR 00919
Mailing address
Urb Alturas de Flamboyan B7 Calle 6
Bayamon, PR 00959-8142
Phone (787) 404-0462
Other providers in Hato Rey, PR
- Viviana Cotto Negron
- Ana Margarita Crespo Burgos
- Michael Joel Cruz Caliz
- Carmen Cruz Cruz
- Cruz Internal Medicine Corp.
- Dolores Cruz
- Lucille E Cruz
- Pablo Cruzado Santiago
- CSP Cardiomax Corp
- Edwin A Cuevas Jr.
All providers in Hato Rey, PR · Registered Dietitian in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.