Active NPI
Betzaida Garcia, LND, DE, MA
- Nutrition Education Nutritionist
- Mayaguez, PR
National Provider Identifier
1043580327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1099
- Practice address
- Medical Emporium 351 Avenida Hostos
Suite 202
Mayaguez, PR 00680 - Phone
- (787) 805-5610
- Fax
- (787) 805-5670
- NPI assigned
- Jan 4, 2012
- Last updated
- Aug 9, 2017
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1099 | PR | Primary |
Addresses
Primary practice location
Medical Emporium 351 Avenida Hostos
Suite 202
Mayaguez, PR 00680
Mailing address
Medical Emporium 351 Avenida Hostos
Suite 202
Mayaguez, PUERTO RICO 00680
UM
Phone (787) 805-5610
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1099 | PR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Omar J Perez Jimenez Gastroenterologo CSP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Mayaguez, PR
- NPI 1063528859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1043580327",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "MEDICAL EMPORIUM 351 AVENIDA HOSTOS",
"address_2": "SUITE 202",
"city": "MAYAGUEZ",
"state": "PUERTO RICO",
"postal_code": "00680",
"telephone_number": "787-805-5610",
"fax_number": "787-805-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL EMPORIUM 351 AVENIDA HOSTOS",
"address_2": "SUITE 202",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-805-5610",
"fax_number": "787-805-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "BETZAIDA",
"credential": "LND, DE, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-04",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "1099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.