Active NPI
Cristina Caridad Gutierrez Hernandez, LND
- Nutritionist
- Cidra, PR
National Provider Identifier
1699489286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 002211
- Practice address
- Ave. El Jibaro Carr 172 KM 13.5 Bo. Bayamon
Cidra, PR 00739-0000 - Phone
- (787) 739-8182
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 002211 | PR | Primary |
Addresses
Primary practice location
Ave. El Jibaro Carr 172 KM 13.5 Bo. Bayamon
Cidra, PR 00739-0000
Mailing address
HC 2 Box 6876
Barranquitas, PR 00794-9273
Phone (787) 212-9871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251126004132 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 2163910217 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Torre Medica San Cristobal
4To Piso Suite 403
Ponce, PR 00780-2680
Phone (787) 212-9871
Urb Los Reyes Calle Oro
Suite 75
Juana Diaz, PR 00795
Urb Los Reyes Calle Oro
Suite 75
Juana Diaz, PR 00795-2859
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2211 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1699489286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 6876",
"city": "BARRANQUITAS",
"state": "PR",
"postal_code": "007949273",
"telephone_number": "787-212-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. EL JIBARO CARR 172 KM 13.5 BO. BAYAMON",
"city": "CIDRA",
"state": "PR",
"postal_code": "007390000",
"telephone_number": "787-739-8182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ HERNANDEZ",
"first_name": "CRISTINA",
"middle_name": "CARIDAD",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "002211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
- Grupo Medico Centro Medicina Especilizada
- Grupo Medico de Cidra, Inc.
- Grupo Medico Medicina Especializada
- Grupo Medico Rabanal LLC
- Grupo Pediatrico Cidreno, CSP
- H.a.Z. Health Services Inc.
- Hablemos Centro de Habilitacion Y Rehabilitacion del Habla-Lenguajecrl
- Healing Hands Inc
- Christian E Hernandez Cuevas, M.D.
- Elsa Yolanda Hernandez, BSN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.