Individual provider Active NPI

Coralis Alsina

  • Nutritionist
  • Cidra, PR
National Provider Identifier
1942593033
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1576 Issued in PR
Practice address
Estancias de Cidra 3
D16
Cidra, PR 00739
Phone
(787) 553-5788
NPI assigned
May 23, 2011
Last updated
Mar 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1576 PR Primary

Addresses

Primary practice location

Estancias de Cidra 3
D16
Cidra, PR 00739

Mailing address

PO Box 370346
Palma Real
Cayey, PR 00737-0346
Phone (787) 434-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000162 PR Practitioner - Registered Dietitian Or Nutrition Professional 0042489791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1576PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yes Nutrition Corporation Nutritionist CurrentSince Jun 21, 2011 Accepting new patients

Locations

140 Calle Jose de Diego
#101
Cidra, PR 00739
Phone (787) 553-5788

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1942593033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370346",
            "address_2": "PALMA REAL",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007370346",
            "telephone_number": "787-434-7474",
            "fax_number": "787-535-9646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DE CIDRA 3",
            "address_2": "D16",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-553-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSINA",
        "first_name": "CORALIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.