Active NPIIndividual providerSole proprietor

Mrs. Gisela M Matos, RDN, LND

Dietitian, Registered in Aguada, Puerto Rico

NPI Number1124613807
Practice location
Carr. 411 Km 2.2 Int. Jagey, Aguada, PR 00602
Fax
—
Last updated
July 21, 2022

Gisela Marie Matos is a Dietitian, Registered based in Aguada, PR. Gisela Marie Matos practices in Aguada, PR and has the professional credentials of RDN, LND. The NPI Number for Gisela Marie Matos is 1124613807 and holds a License No. 86109878 (PR). The current practice location address for Gisela Marie Matos is Carr. 411 Km 2.2 Int. Jagey, Aguada, PR 00602 and can be reached out via phone at 787-362-8219.

Provider Profile Details

NPI Number
1124613807
Provider Name
Gisela Marie Matos
Credential
RDN, LND
Provider Entity Type
Individual
Gender
Female
Address
Carr. 411 Km 2.2 Int. Jagey, Aguada, PR 00602
Phone Number
787-362-8219
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 4, 2021
Last Update Date
July 21, 2022
Certification Date
March 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr. 411 Km 2.2 Int. Jagey
Aguada, PR 00602
City
Aguada
Zip
00602
Phone Number
787-362-8219
Aguada, PR 00602Get directions →

Provider Business Mailing Address Details

Address
Hc 60 Box 29240-2
Aguada, PR 00602-9232
City
Aguada
State
PR
Zip
00602-9232
Phone Number
787-362-8219

License Information

License Number
86109878
License State
PR
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Gisela M Matos, RDN, LND?

The NPI number of Mrs. Gisela M Matos, RDN, LND is 1124613807. It was assigned on March 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Gisela M Matos, RDN, LND?

Mrs. Gisela M Matos, RDN, LND is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PR under license number 86109878.

Where does Mrs. Gisela M Matos, RDN, LND practice?

The practice location is Carr. 411 Km 2.2 Int. Jagey, Aguada, PR 00602. The office can be reached at 787-362-8219 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124613807 directly on the NPPES registry website.

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