Individual provider Active NPI

Nicolle Lorraine Rosado Hernandez, RDN, LDN

  • Nutritionist
  • Mayaguez, PR
National Provider Identifier
1558099374
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2199 Issued in PR
Practice address
Mayaguez Medical Center Hospital Ave Hostos #410
Suite 103-104
Mayaguez, PR 00680
Phone
(787) 484-6890
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 2199 PR Primary
Registered Dietitian 133V00000X 86071737 PR

Addresses

Primary practice location

Mayaguez Medical Center Hospital Ave Hostos #410
Suite 103-104
Mayaguez, PR 00680

Mailing address

Cond. Alturas de Mayaguez 325 Ave Algarrobo
Apt 8H
Mayaguez, PR 00680
Phone (787) 612-4015

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2199PRMDGeneral Practice Dentistry
86071737PRMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1558099374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. ALTURAS DE MAYAGUEZ 325 AVE ALGARROBO",
            "address_2": "APT 8H",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-612-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYAGUEZ MEDICAL CENTER HOSPITAL AVE HOSTOS #410",
            "address_2": "SUITE 103-104",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-484-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSADO HERNANDEZ",
        "first_name": "NICOLLE",
        "middle_name": "LORRAINE",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2199",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "86071737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.