Organization Active NPI

Nutrix Inc

  • Home Infusion Agency
  • San Juan, PR
National Provider Identifier
1023094182
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
09-F-1660 Issued in PR
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

Updated by the provider on Nov 5, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930090928 PR DME Supplier - Pharmacy 1052431012 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.