Active NPI
Edna De Latorre, LND
- Registered Dietitian
- Trujillo Alto, PR
National Provider Identifier
1043666340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1009
- Practice address
- 350 Via Aventura Apt 7710
Condominio Aventura
Trujillo Alto, PR 00976-6191 - Phone
- (618) 803-1818
- NPI assigned
- May 5, 2016
- Last updated
- May 5, 2016
- 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 | 1009 | PR | Primary |
Addresses
Primary practice location
350 Via Aventura Apt 7710
Condominio Aventura
Trujillo Alto, PR 00976-6191
Mailing address
350 Via Aventura Apt 7710
Cond Aventura
Trujillo Alto, PR 00976-6191
Phone (618) 803-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009 | Other | PR | 1009 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1043666340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 VIA AVENTURA APT 7710",
"address_2": "COND AVENTURA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766191",
"telephone_number": "618-803-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 VIA AVENTURA APT 7710",
"address_2": "CONDOMINIO AVENTURA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766191",
"telephone_number": "618-803-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LATORRE",
"first_name": "EDNA",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1009",
"identifier": "1009",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.