Individual provider Active NPI

Cristina Caridad Gutierrez Hernandez, LND

  • Nutritionist
  • Cidra, PR
National Provider Identifier
1699489286
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
002211 Issued in PR
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

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2211PRMDPhysician 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

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.

Verify at the official NPI Registry.