Active NPI
Aracelis Lopez Quinonez, RD
- Registered Dietitian
- Immokalee, FL
National Provider Identifier
1053325787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1293
- Practice address
- 1454 Madison Ave W
Immokalee, FL 34142-2200 - Phone
- (239) 658-3000
- Fax
- (239) 658-3199
- NPI assigned
- Jul 28, 2006
- Last updated
- Jan 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND7870 | FL | |
| Registered Dietitian | 133V00000X | 1293 | PR | Primary |
Addresses
Primary practice location
1454 Madison Ave W
Immokalee, FL 34142-2200
Mailing address
5 Calle Jose P H Hernandez
Rio Grande, PR 00745-2931
Phone (787) 550-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JF512Z | Other | FL | MEDICARE ID |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1053325787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CALLE JOSE P H HERNANDEZ",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007452931",
"telephone_number": "787-550-7783",
"fax_number": "787-734-4129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 MADISON AVE W",
"city": "IMMOKALEE",
"state": "FL",
"postal_code": "341422200",
"telephone_number": "239-658-3000",
"fax_number": "239-658-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONEZ",
"first_name": "ARACELIS",
"middle_name": "LOPEZ",
"name_prefix": "Miss",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7870",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "JF512Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Immokalee, FL
- Marie E Pierrelus, RD, LD
- Psychotherapeutic Services of Florida
- Juan Rigoberto Puerto, M.D.
- Quality Healthcare Staffing Services, LLC (Quality Home Care Services)
- Jose Roberto Quero, M.D.
- Reinier F Ramirez, MD
- Ana G Ramos Peraza
- Paulette Vicario Ramsey, NP
- Results Care, LLC
- Anthony Tyler Riggio, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.