Active NPI
Michelle Martinez
- Nutritionist
- Hato Rey, PR
National Provider Identifier
1003196288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1518
- Practice address
- Hospital Auxilio Mutuo
Hato Rey, PR 00918 - Phone
- (787) 758-2000
- NPI assigned
- Aug 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1518 | PR | Primary |
Addresses
Primary practice location
Hospital Auxilio Mutuo
Hato Rey, PR 00918
Mailing address
A-17 Calle 4
Urb. Parque de Torrimar
Bayamon, PR 00959-0000
Other practice location 1
calle 4 A-17
Urb. Parque de Torrimar
Bayamon, PR 00959-8945
Phone (787) 363-0261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1518 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003196288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A-17 CALLE 4",
"address_2": "URB. PARQUE DE TORRIMAR",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009590000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL AUXILIO MUTUO",
"city": "HATO REY",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-758-2000"
}
],
"practiceLocations": [
{
"address_1": "calle 4 A-17",
"address_2": "Urb. Parque de Torrimar",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "009598945",
"country_code": "US",
"telephone_number": "787-363-0261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.