Healthcare Provider Details

I. General information

NPI: 1992953020
Provider Name (Legal Business Name): ZILKIA ORTEGA RD, MPH, LND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 03/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE MONSERRATE # BA-14 VALLE ARRIBA HEIGHTS
CAROLINA PR
00985-5444
US

IV. Provider business mailing address

PO BOX 360811
SAN JUAN PR
00936-0811
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-2550
  • Fax: 787-762-2425
Mailing address:
  • Phone: 787-460-1650
  • Fax: 787-963-1650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number341
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number341
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number341
License Number StatePR
# 4
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number341
License Number StatePR
# 5
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number341
License Number StatePR
# 6
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number341
License Number StatePR
# 7
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number341
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: