Yodali Jimenez Fuentes, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1554 Issued in PR

Practice address

Condominio Lagos del Norte Apt 306
Toa Baja, PR 00949

Phone

(787) 566-9477

NPI assigned

Jan 22, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• 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": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1578894085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO LAGOS DEL NORTE APT 306",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-566-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO LAGOS DEL NORTE APT 306",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-566-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ FUENTES",
        "first_name": "YODALI",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "1554",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Javier, D.M.D.
• JC Fast Clinic LLC
• JC Physiatry LLC
• Jenny Rivera Farmacia Lesmarie
• Omayra Jimenez Barreto, LND
• Jose Victor Jimenez, MSW
• JLM Medcorp.Service,Psa
• JM Ortiz Ambulance Corp
• Santiago Joaquin, MD
• Joseph Negron Caban

• Nutritionist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.