Individual provider Active NPI

Maria Angelica Trak-Fellermeier

  • Nutritionist
  • Arecibo, PR
National Provider Identifier
1013140748
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1535 Issued in PR
Practice address
Calle 16 V1 CDT Villa Los Santos
Urb Villa Los Santos
Arecibo, PR 00612
Phone
(787) 817-3144
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1535 PR Primary

Addresses

Primary practice location

Calle 16 V1 CDT Villa Los Santos
Urb Villa Los Santos
Arecibo, PR 00612

Mailing address

400 Carretera 176
#101 Condominio Paseo del Rocio
San Juan, PR 00926-6677
Phone (787) 998-1548

Other names 1

  • Maria Angelica Trak Mireles Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1535PRMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1013140748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CARRETERA 176",
            "address_2": "#101 CONDOMINIO PASEO DEL ROCIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266677",
            "telephone_number": "787-998-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 16 V1 CDT VILLA LOS SANTOS",
            "address_2": "URB VILLA LOS SANTOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-817-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAK-FELLERMEIER",
        "first_name": "MARIA",
        "middle_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "TRAK MIRELES",
            "middle_name": "ANGELICA",
            "credential": "LND, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.