Individual provider Active NPI

Damaris Delgado Cotto

  • Nutrition Education Nutritionist
  • Aguadilla, PR
National Provider Identifier
1922529783
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1202 Issued in PR
Practice address
536 Ave Victoria
Aguadilla, PR 00603-4623
Phone
(787) 658-6218
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 1202 PR Primary

Addresses

Primary practice location

536 Ave Victoria
Aguadilla, PR 00603-4623

Mailing address

PO Box 3119
Vega Alta, PR 00692-3119

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address administracion910@ipamspr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200210000746 PR Practitioner - Registered Dietitian Or Nutrition Professional 8729414818 Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1202PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion de Medicos de Puerto Rico Ms Inc CurrentSince Aug 14, 2022 Accepting new patients

Locations

536 Ave Victoria
Aguadilla, PR 00603
Phone (787) 509-7401

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1922529783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3119",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006923119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 AVE VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006034623",
            "telephone_number": "787-658-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO COTTO",
        "first_name": "DAMARIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administracion910@ipamspr.com",
            "affiliation": "N",
            "address_1": "536 Ave Victoria",
            "city": "Aguadilla",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006034623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.