Dietetiko LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DIETETIKO LLC

Practice address

1845 Carr #2
Suite 509
Bayamon, PR 00959

Phone

(939) 225-7002

Fax

(939) 225-7741

NPI assigned

Sep 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rickly Jose Torres Garcia, LCDO

Title

President

Phone

(787) 903-1703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rickly Jose Torres, RDN

  • Registered Dietitian
  • Dorado, PR
  • NPI 1639837065

  Dietitian, Registered

  Medicare reassignment NPD
• Francisco Javier Barajas Duque, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1710794219
  NPD (past)
• Natalio P. Bayonet, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, PR
  • NPI 1992799803
  NPD (past)
• Lin Margaret Chu Joy Davila, MD

  • General Practice Physician
  • Santurce, PR
  • NPI 1669046058
  NPD (past)
• Emily Irizarry, MD

  • Medical Physician Assistant
  • San Juan, PR
  • NPI 1114615309

  Single Specialty

  NPD (past)
• Jose L Munoz Benedicto, MD

  • Internal Medicine Physician
  • Carolina, PR
  • NPI 1144205816
  NPD (past)
• Dinamarca Rodriguez Vargas, MD

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1821079070
  NPD (past)
• Loraine Marie Torres Garcia

  • Obstetrics & Gynecology Physician
  • Bayamon, PR
  • NPI 1730684895
  NPD (past)
• Vidal Vazquez Santana, M.D.

  • Cardiovascular Disease Physician
  • Santurce, PR
  • NPI 1740393453
  NPD (past)
• Harold Nelson Stoddard Latorre, M.D.

  • Internal Medicine Physician
  • NPI 1689646408
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1003641127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "V8 CALLE 12",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598017",
            "telephone_number": "787-903-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CARR #2",
            "address_2": "SUITE 509",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "939-225-7002",
            "fax_number": "939-225-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1492 AVE PONCE DE LEON",
            "address_2": "SUITE 112 CENTRO EUROPA",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009074012",
            "country_code": "US",
            "telephone_number": "939-399-3494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Ave Ponce De Leon Ste 1105",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009091722",
            "country_code": "US",
            "telephone_number": "787-977-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIETETIKO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "TORRES GARCIA",
        "authorized_official_first_name": "RICKLY",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-903-1703",
        "authorized_official_credential": "LCDO"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varelyn N Diaz
• Wanda I Diaz, RPH
• Yolanda L Diaz
• Zahira Luz Diaz, LPC
• Dicev
• Rene Dietrich Ormachea, MD
• Pierre Sherley Dimanche, M.D.
• Disaster and Prehospital Medicine ( Diphom)
• DJM Imaging Center LLC
• Docbfactor Medical Services LLC

• Registered Dietitian in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.