Active NPI
Raquel I Cordoves-Marchese, RD LDN
- Registered Dietitian
- Boynton Beach, FL
National Provider Identifier
1831269893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3415
- Practice address
- 544 Manatee Bay Dr
Boynton Beach, FL 33435-2801 - Phone
- (561) 870-2142
- Fax
- (888) 276-5007
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3415 | FL | Primary |
Addresses
Primary practice location
544 Manatee Bay Dr
Boynton Beach, FL 33435-2801
Mailing address
544 Manatee Bay Dr
Boynton Beach, FL 33435-2801
Phone (561) 870-2142
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838837 | Other | FL | NATIONAL REGISTRATION # |
| ND3415 | Other | FL | STATE LICENSE |
Other names 1
- Raquel I Cordoves
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3415 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831269893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 MANATEE BAY DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334352801",
"telephone_number": "561-870-2142",
"fax_number": "888-276-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 MANATEE BAY DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334352801",
"telephone_number": "561-870-2142",
"fax_number": "888-276-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVES-MARCHESE",
"first_name": "RAQUEL",
"middle_name": "I",
"credential": "RD LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "3415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTRATION #",
"identifier": "838837",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ND3415",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAQUEL",
"last_name": "CORDOVES",
"middle_name": "I",
"credential": "RD LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.