Marisol Semidey-Morales, LND
Individual provider Active NPI Nutritionist · Aguadilla, PR
NPI 1881369965 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1881369965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- License
- 2021 (PR)
- Practice address
- 536 Ave Victoria
Aguadilla, PR 00603-4623 - Phone
- (787) 658-6218
- Fax
- (787) 658-7116
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210915001364 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 8628474780 | Practice locations: Aguadilla, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asociacion de Medicos de Puerto Rico Ms Inc | Nutritionist | Current |
Accepting new patients |
Locations
536 Ave Victoria
Aguadilla, PR 00603
Phone (787) 509-7401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2021 | PR | Yes |
Addresses
Primary practice location
536 Ave Victoria
Aguadilla, PR 00603-4623
Mailing address
PO Box 535
San Antonio, PR 00690-0535
Phone (939) 217-4786
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SYNC |
Other providers in Aguadilla, PR
- Marisol Santiago
- Michelle J Santiago
- Ricardo E. Santiago
- Yoliann Marie Santiago
- Diana Idalia Santos
- Serrano & Caban LLC
- Kevin Xavier Serrano Hernandez
- Maydelis Serrano Morales
- Mayda Nadir Serrano-Alvira
- Servicios Medicos Dra Farida M Ramos Suarez Corp
All providers in Aguadilla, PR · Nutritionist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.