Lourdes Castro Mortillaro
Dietitian, Registered

Address: 90 Furman St Apt 601, Brooklyn, NY 11201-7083
Phone: 3055861285

Lourdes Castro Mortillaro (NPI# 1124649306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124649306
Entity Type Individual
Full Name Lourdes Castro Mortillaro
Credential RDN
Gender Female
Practice Address 90 Furman St Apt 601
NY 11201-7083
Practice Telephone 3055861285
Mailing Address 90 Furman St Apt 601
NY 11201-7083
Mailing Telephone 3055861285
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-29
Last Update Date 2020-04-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
No 133VN1004X Dietitian, Registered · Nutrition, Pediatric Dietary & Nutritional Service Providers
No 133VN1201X
No 133VN1501X

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

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Office Location

Street Address 90 FURMAN ST APT 601
State NY
Zip Code 11201-7083

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1093274474 Wts Medical Staffing, LLC Home Health 195 Montague St 14th Fl, Brooklyn, NY 11201 2019-03-15
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Zip Code 11201

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Dataset Information

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.

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