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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1447 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Carlos a. Comas PSC | Past | Accepting new patients | |
| Dr. Carlos a. Comas PSC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Carlos A Comas Rivera
- Conceptos Dentales del Sur
- Conceptos Dentales Inc
- Hector Javier Cora
- Corporacion Medica de Juana Diaz, Inc.
- Bryan G Cosme Sr.
- Raul Alberto Cota Ley
- Karian Marie Couret
- Joan Cruz Rivera
- Sharylan Cruz Rodriguez
All providers in Juana Diaz, PR · Nutritionist 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 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.