MS. TERESA RODRIGUEZ BONILLA (RDN. IFNCP. LDN, CLT) – Registered Dietitian, NPI 1104865914
Registered Dietitian
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. TERESA RODRIGUEZ BONILLA (RDN. IFNCP. LDN, CLT)
2681 ROOSEVELT BLVD APT 5206
CLEARWATER, FL 337602978
Phone: (727) 366-9963
Fax: (317) 427-6078
Type: Mailing
2681 ROOSEVELT BLVD
APT 5206
CLEARWATER, FL 337602978
Phone: (727) 398-6661
Fax: (727) 398-9503
Type: Location
113 CALLE MALLORCA
SAN JUAN, PR 009173125
Phone: (727) 366-9663
Fax: (317) 427-6078
Type: Mailing
Bay Pines, Pinellas County, Florida, United States
VA HEALTHCARE CENTER
BAY PINES, FL 337445005
Phone: (727) 398-6661
Fax: (727) 398-9503
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190620001171 | I | Registered Dietitian Or Nutrition Professional | FL | TBD |
| I20221128001569 | I | Registered Dietitian Or Nutrition Professional | TX | TBD |
| I20230302001782 | I | Registered Dietitian Or Nutrition Professional | PR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33760)
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