Active NPIIndividual providerSole proprietor

Ismarie Raldiris, RD, IBCLC

Nutritionist in Caguas, Puerto Rico

NPI Number1275293128
Practice location
500 Grand Blvd Los Prados Apt 6102, Caguas, PR 00727-3412
Fax
—
Last updated
December 20, 2021

Ismarie Raldiris is a Nutritionist based in Caguas, PR. Ismarie Raldiris practices in Caguas, PR and has the professional credentials of RD, IBCLC. The NPI Number for Ismarie Raldiris is 1275293128 and holds a License No. L-86786. The current practice location address for Ismarie Raldiris is 500 Grand Blvd Los Prados Apt 6102, Caguas, PR 00727-3412 and can be reached out via phone at 787-633-8677.

Provider Profile Details

NPI Number
1275293128
Provider Name
Ismarie Raldiris
Credential
RD, IBCLC
Provider Entity Type
Individual
Gender
Female
Address
500 Grand Blvd Los Prados Apt 6102, Caguas, PR 00727-3412
Phone Number
787-633-8677
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 20, 2021
Last Update Date
December 20, 2021
Certification Date
December 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Grand Blvd Los Prados Apt 6102
Caguas, PR 00727-3412
City
Caguas
Zip
00727-3412
Phone Number
787-633-8677
Caguas, PR 00727Get directions →

Provider Business Mailing Address Details

Address
500 Grand Blvd Los Prados Apt 6102
Caguas, PR 00727-3412
City
Caguas
State
PR
Zip
00727-3412
Phone Number
787-633-8677

License Information

License Number (1)
L-86786
Taxonomy (1)
Lactation Consultant, Non-RN · 174N00000X
License Number (2)
1697
License State (2)
PR
Taxonomy (2)
Nutritionist · 133N00000X · Primary
License Number (3)
1069646
Taxonomy (3)
Dietitian, Registered · 133V00000X

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 Ismarie Raldiris, RD, IBCLC?

The NPI number of Ismarie Raldiris, RD, IBCLC is 1275293128. It was assigned on December 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Ismarie Raldiris, RD, IBCLC?

Ismarie Raldiris, RD, IBCLC is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed under license number L-86786.

Where does Ismarie Raldiris, RD, IBCLC practice?

The practice location is 500 Grand Blvd Los Prados Apt 6102, Caguas, PR 00727-3412. The office can be reached at 787-633-8677 (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 1275293128 directly on the NPPES registry website.

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