Freddie Rodriguez
NPI 1063612471ActiveIndividual· Nutritionist· Ponce, PR
Nutritionist in Ponce, Puerto Rico, licensed in PR, with an NPI issued in July 2007. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1063612471 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 23, 2007 |
| Last updated in NPPES | Apr 16, 2020 |
| Certified by provider | Apr 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | 1467 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (PR) |
|---|
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