Active NPI
Nutrix Inc
- Home Infusion Agency
- San Juan, PR
National Provider Identifier
1023094182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 09-F-1660
- Legal business name
- NUTRIX INC
- Doing business as
- Nutrix inc
- Practice address
- RR 37 Box 1870
San Juan, PR 00926-9804 - Phone
- (787) 751-1550
- Fax
- (787) 763-5807
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jaime Pla Cortes, MS
- Title
- President
- Phone
- (787) 751-1550
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 09-F-1660 | PR | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 09-F-1660 | PR | |
| Specialty Pharmacy | 3336S0011X | 09-F-1660 | PR |
Addresses
Primary practice location
RR 37 Box 1870
San Juan, PR 00926-9804
Mailing address
RR 37 Box 1870
San Juan, PR 00926-9804
Phone (787) 751-1550
Other names 1
- Nutrix inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930090928 | PR | DME Supplier - Pharmacy | 1052431012 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
107 Calle Ganges
San Juan, PR 00926
Phone (787) 751-1550
107 Calle Ganges
Ste 102
San Juan, PR 00926
Phone (787) 754-4220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288915200000",
"number": "1023094182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 37 BOX 1870",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269804",
"telephone_number": "787-751-1550",
"fax_number": "787-763-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 37 BOX 1870",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009269804",
"telephone_number": "787-751-1550",
"fax_number": "787-763-5807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRIX INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-21",
"last_updated": "2010-11-05",
"status": "A",
"authorized_official_last_name": "PLA CORTES",
"authorized_official_first_name": "JAIME",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-751-1550",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "PR",
"license": "09-F-1660",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "PR",
"license": "09-F-1660",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "PR",
"license": "09-F-1660",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nutrix inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.