Active NPI
Maria Angelica Trak-Fellermeier
- Nutritionist
- Arecibo, PR
National Provider Identifier
1013140748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1535
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1535 | PR | MD | Nutritionist |
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.