Active NPI
Damaris Delgado Cotto
- Nutrition Education Nutritionist
- Aguadilla, PR
National Provider Identifier
1922529783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1202
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | administracion910@ipamspr.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1202 | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asociacion de Medicos de Puerto Rico Ms Inc | Current | 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.
-
- General Practice Physician
- Aguadilla, PR
- NPI 1659009298
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.