Wanda I Gonzalez Otero

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1690 Issued in PR

Practice address

Ab26 Calle 43
Santa Juanita
Bayamon, PR 00956-4755

Phone

(787) 299-6001

NPI assigned

Mar 12, 2014

Last updated

Mar 5, 2026By 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 2

Addresses

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

Locations

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.

• CDT Centro de Servicios Medicos Integrados, Inc.

  • Clinic/Center
  • Bayamon, PR
  • NPI 1942408067
  Medicare reassignment NPD
• CDT Centro de Servicios Medicos Integrados Inc.

  dba Laboratorio Clinico Cesmi

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1487895314
  NPD

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1841616927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AB26 CALLE 43",
            "address_2": "SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564755",
            "telephone_number": "787-299-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AB26 CALLE 43",
            "address_2": "SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564755",
            "telephone_number": "787-299-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ OTERO",
        "first_name": "WANDA",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1690",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reinaldo Gonzalez Martinez, MD FCCP
• Wigberto Josue Gonzalez Martinez, MD,MPH
• Edgardo Gonzalez Morales, M.D.
• Maria De Los a. Gonzalez Morales, PSY M.
• Katiushka Gonzalez Moro
• Esthermari Gonzalez Polanco, MD
• Lisandra Gonzalez Ramos, PSYD
• Francis M Gonzalez Reyes, PSY.D
• Isamar Gonzalez Rivera, MS-SLP
• Rosbel Gonzalez Rivera, MD

• Registered Dietitian in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.