Heralda Cortes Molina, LND

Individual provider Active NPI Nutritionist · Juana Diaz, PR

NPI 1619003464 · NPPES record last updated Oct 18, 2012

Key facts

NPI
1619003464
Entity type
Individual (NPI type 1)
Primary specialty
Nutritionist 133N00000X
License
1447 (PR)
Practice address
11 Calle Dr Veve
Juana Diaz, PR 00795-1657
Phone
(787) 342-2550
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1447PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Carlos a. Comas PSC Past Accepting new patients
Dr. Carlos a. Comas PSC Past
since Mar 19, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1447 PR Yes

Addresses

Primary practice location

11 Calle Dr Veve
Juana Diaz, PR 00795-1657

Mailing address

PO Box 800350
Coto Laurel, PR 00780-0350
Phone (787) 342-2550

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 18, 2012.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1619003464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800350",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800350",
            "telephone_number": "787-342-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE DR VEVE",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951657",
            "telephone_number": "787-342-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES MOLINA",
        "first_name": "HERALDA",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

All providers in Juana Diaz, PR · Nutritionist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.