Individual provider Active NPI

Betzaida Garcia, LND, DE, MA

  • Nutrition Education Nutritionist
  • Mayaguez, PR
National Provider Identifier
1043580327
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1099 Issued in PR
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1099PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Omar J Perez Jimenez Gastroenterologo CSP PastSince Dec 21, 2009 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.

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.

Verify at the official NPI Registry.