Individual provider Active NPI

Cristal Gonzalez Estremera, LND

  • Nutritionist
  • Barceloneta, PR
National Provider Identifier
1043696289
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1934 Issued in PR
Practice address
66 Urb Catalana
Barceloneta, PR 00617-2725
Phone
(787) 462-9480
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1934 PR Primary

Addresses

Primary practice location

66 Urb Catalana
Barceloneta, PR 00617-2725

Mailing address

PO Box 2020
PMB 288
Barceloneta, PR 00617-2020
Phone (787) 462-9480

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

LicenseStateTypeSpecialty
1934PRMDDentist
1934FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Integrales Para El Desarrollo Humano Inc. Past Accepting new patients
Learn & Grow Therapy Group LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1043696289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "address_2": "PMB 288",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172020",
            "telephone_number": "787-462-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 URB CATALANA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172725",
            "telephone_number": "787-462-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ESTREMERA",
        "first_name": "CRISTAL",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.