CLINICA DE NUTRICION DEL SUR LLC
NPI 1306615091
Nutritionist - Nutrition, Education in Coamo, PR
About Clinica De Nutricion Del Sur Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA DE NUTRICION DEL SUR LLC (NPI 1306615091) is a healthcare organization registered as a nutrition, education in Coamo, Puerto Rico and active in the NPI registry since December 2023. The organization lists Edwill Burgos, Lic, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinica De Nutricion Del Sur Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinica De Nutricion Del Sur LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clinica De Nutricion Del Sur LLC's NPI number?
The NPI number for Clinica De Nutricion Del Sur LLC is 1306615091. It was assigned to this organization in the NPPES registry on December 22, 2023.
Where is Clinica De Nutricion Del Sur LLC located?
Clinica De Nutricion Del Sur LLC is located at Calle Segundo Bernier, Coamo, PR 00769. The listed phone number is (787) 803-8221.
What is Clinica De Nutricion Del Sur LLC's specialty?
The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.
Is Clinica De Nutricion Del Sur LLC enrolled in Medicare?
Yes. Clinica De Nutricion Del Sur LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinica De Nutricion Del Sur LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Clinica De Nutricion Del Sur LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clinica De Nutricion Del Sur LLC was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clinica De Nutricion Del Sur Llc · NPI 1306615091
Nutrition, Education organization in Coamo, Puerto Rico. Organization record, active in the CMS NPPES registry since December 22, 2023.
## Identity
- **NPI:** 1306615091 (Entity type: Organization)
- **Enumerated:** December 22, 2023
- **Primary specialty:** Nutritionist - Nutrition, Education · taxonomy 133NN1002X
- **Organization subpart:** No
- **Authorized official:** Edwill Burgos, LIC
## Practice location
- **Address:** CALLE SEGUNDO BERNIER, Coamo, PR 00769
- **Phone:** (787) 803-8221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Registered Dietitian or Nutrition Professional) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1306615091) · Data from the CMS NPPES public registry.