Onellys M Medina Garcia, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1646 Issued in PR

Practice address

Carr 110 KM 0 3
Bo Ceiba Baja
Aguadilla, PR 00604

Phone

(787) 531-1036

NPI assigned

Jun 18, 2012

Last updated

Feb 19, 2020By the provider in NPPES

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

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Nutrition Center, LLC

  • Obesity and Weight Management Nutrition Registered Dietitian
  • San Juan, PR
  • NPI 1205786142
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1821351636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CALLE MARTIN TRAVIESO APT 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111940",
            "telephone_number": "787-531-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 110 KM 0 3",
            "address_2": "BO CEIBA BAJA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00604",
            "telephone_number": "787-531-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA GARCIA",
        "first_name": "ONELLYS",
        "middle_name": "M",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1646",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medica X Siempre
• Medical Health Resources, Corp.
• Medicina Audaz, Inc.
• Medicruz, LLC
• Astrid Medina Caban
• Marielis Medina Rosa, RPH
• Annette Medina-Agostini, M.D.
• Ismael Medina-Agostini, MD
• Ismael Medina-Gaud, M.D.
• Medstar Ambulance Service Inc.

• Nutritionist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.