Active NPI
Luzmary Pagan Gonzalez, LND
- Registered Dietitian
- Guaynabo, PR
National Provider Identifier
1033581830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1940
- Practice address
- HC 4 Box 5370
Guaynabo, PR 00971-9516 - Phone
- (787) 241-9383
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1940 | PR | Primary |
Addresses
Primary practice location
HC 4 Box 5370
Guaynabo, PR 00971-9516
Mailing address
HC 4 Box 5370
Guaynabo, PR 00971-9516
Phone (787) 241-9383
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1940 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1033581830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 4 BOX 5370",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009719516",
"telephone_number": "787-241-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 4 BOX 5370",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009719516",
"telephone_number": "787-241-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN GONZALEZ",
"first_name": "LUZMARY",
"name_prefix": "Mrs.",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.