Active NPIIndividual providerSole proprietor

Wanda I Gonzalez Otero

Dietitian, Registered in Bayamon, Puerto Rico

NPI Number1841616927
Practice location
Ab26 Calle 43, Santa Juanita, Bayamon, PR 00956-4755
Fax
—
Last updated
March 5, 2026

Wanda I Gonzalez Otero is a Dietitian, Registered based in Bayamon, PR. Wanda I Gonzalez Otero practices in Bayamon, PR. The NPI Number for Wanda I Gonzalez Otero is 1841616927 and holds a License No. 1690 (PR). The current practice location address for Wanda I Gonzalez Otero is Ab26 Calle 43, Santa Juanita, Bayamon, PR 00956-4755 and can be reached out via phone at 787-299-6001.

Provider Profile Details

NPI Number
1841616927
Provider Name
Wanda I Gonzalez Otero
Provider Entity Type
Individual
Gender
Female
Address
Ab26 Calle 43, Santa Juanita, Bayamon, PR 00956-4755
Phone Number
787-299-6001
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 12, 2014
Last Update Date
March 5, 2026
Certification Date
March 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ab26 Calle 43
Santa Juanita
Bayamon, PR 00956-4755
Zip
00956-4755
Phone Number
787-299-6001
Bayamon, PR 00956Get directions →

Provider Business Mailing Address Details

Address
Ab26 Calle 43
Santa Juanita
Bayamon, PR 00956-4755
City
Bayamon
State
PR
Zip
00956-4755
Phone Number
787-299-6001

License Information

License Number (1)
1690
License State (1)
PR
Taxonomy (1)
Nutritionist · 133N00000X
License Number (2)
1690
License State (2)
PR
Taxonomy (2)
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 Wanda I Gonzalez Otero?

The NPI number of Wanda I Gonzalez Otero is 1841616927. It was assigned on March 12, 2014 and is currently active in the NPPES registry.

What is the specialty of Wanda I Gonzalez Otero?

Wanda I Gonzalez Otero is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PR under license number 1690.

Where does Wanda I Gonzalez Otero practice?

The practice location is Ab26 Calle 43, Santa Juanita, Bayamon, PR 00956-4755. The office can be reached at 787-299-6001 (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 1841616927 directly on the NPPES registry website.

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