MS. MILDRED HERNANDEZ (NPI# 1659492932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659492932 |
| Entity Type | Individual |
| Full Name | MS. MILDRED HERNANDEZ |
| Credential | DIETICIAN |
| Practice Address |
1715 Ave Ponce De Leon Nutrition Dept. San Juan PR 00909-1958 |
| Mailing Address |
1471 Calle Humacao Stop 20 San Juan PR 00909-2633 |
| Practice Telephone | 7877582000 |
| Practice Fax Number | 7877717951 |
| Mailing Telephone | 7877224564 |
| Mailing Fax Number | 7877717951 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 132700000X | Dietary Manager | 645 | PR | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | DIETICIAN'S LICENSE | 645 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861906554 | Mildred Hernandez | Behavior Technician | 11825 Sw 185th St, Miami, FL 33177-3264 | 2017-11-17 |
| 1649476391 | Mildred Z. Hernandez | Pharmacist | 2685 Horseshoe Dr S, #101, Naples, FL 34104-6113 | 2007-06-21 |
| Street Address |
1715 AVE PONCE DE LEON NUTRITION DEPT. |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174684153 | Samara Baez-quinones | General Practice | 1715 Ave Ponce De Leon, Ste S1, San Juan, PR 00909-1966 | 2006-12-13 |
| 1396096012 | Alexandra Rodriguez | Nutritionist | 1715 Ave Ponce De Leon, Nutrition Dept., San Juan, PR 00909-1958 | 2012-09-20 |
| 1285993550 | Hospital Auxilio Mutuio | General Acute Care Hospital | 1715 Ave Ponce De Leon, Nutrition Dept, San Juan, PR 00909-1958 | 2012-05-08 |
| 1336458918 | Jennifer Michelle Santana | Nutritionist | 1715 Ave Ponce De Leon, Nutrition Dept., San Juan, PR 00909-1958 | 2010-09-30 |
| 1871749838 | Iraida Cruz | Nutritionist | 1715 Ave Ponce De Leon, Nutrition Department, San Juan, PR 00929-1958 | 2008-08-11 |
| 1689832073 | Alexandra Reyes | Nutritionist | 1715 Ave Ponce De Leon, Nutrition Department, San Juan, PR 00909-1958 | 2008-06-02 |
| 1649438037 | Gabriela Gonzalez | Nutritionist | 1715 Ave Ponce De Leon, Nutrition Department, San Juan, PR 00909-1958 | 2008-06-02 |
| 1750564498 | Alba Iris Carbonell | Nutritionist | 1715 Ave Ponce De Leon, Nutrition Department, San Juan, PR 00909-1958 | 2007-12-17 |
| 1093998734 | Lilliam Isabel Rodriguez | Nutritionist | 1715 Ave Ponce De Leon, Nutrition Dept, San Juan, PR 00909-1958 | 2007-12-17 |
| 1831372572 | Nitza Enid Perez | Nutritionist | 1715 Ave Ponce De Leon, Nutrition Dept., San Juan, PR 00909-1958 | 2007-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851778179 | Gabriela Tirado | Dietary Manager | 715 Avenidad Ponce De Leon, Nutrition Dept., San Juan, PR 00909-1958 | 2015-05-06 |
| 1245617935 | Angelys Serrano | Dietary Manager | Ave Ponce De Leon # 715, Nutrition Dept., San Juan, PR 00907-3907 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396251062 | Elizamir Santiago | Dietary Manager | Calle Julio Perez Irizarry Local 2b, Hormigueros, PR 00660 | 2017-12-18 |
| 1861796872 | Damaris M Vazquez | Dietary Manager | Pradera St., 162 Estacia De La Fuente, Toa Alta, PR 00953-3619 | 2011-01-05 |
| 1649400607 | Flor Del Rosario Andreu | Dietary Manager | 26 Ceiba St., Mansiones Del Sur, Coto Laurel, PR 00780-2080 | 2009-07-23 |
| 1992953020 | Zilkia Ortega | Dietary Manager | Ave Monserrate # Ba-14, Valle Arriba Heights, Carolina, PR 00985-5444 | 2008-09-03 |
| 1811108038 | Carmen Rosa Pizarro | Dietary Manager | 150 Carr 873, 77 Box Vistas De Los Frailes, Guaynabo, PR 00969-5152 | 2007-05-28 |
| 1891933511 | Ivelisse Alverio Santana | Dietary Manager | Hf16 Calle Lizzie Graham, Toa Baja, PR 00949-3634 | 2009-02-03 |
Please comment or provide details below to improve the information on MS. MILDRED HERNANDEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.