NPIMap

Organization Active NPI

Nutrika Low Profit LLC

  • Dietary Manager
  • Yauco, PR
National Provider Identifier
1063091999
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Legal business name
NUTRIKA LOW PROFIT LLC
Practice address
# 421 Dalias Street
Urbanizacion Los Pinos
Yauco, PR 00698
Phone
(787) 981-0949
NPI assigned
Apr 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Yanira Galarza, LND
Title
President
Phone
(787) 981-0949

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary ManagerGroup: 193200000X MULTI-SPECIALTY GROUP 132700000X Primary
Meals Provider 174200000X

Addresses

Primary practice location

# 421 Dalias Street
Urbanizacion Los Pinos
Yauco, PR 00698

Mailing address

# 421 Dalias Street
Urbanizacion Los Pinos
Yauco, PR 00698
Phone (787) 981-0949

Other identifiers 1

IdentifierTypeStateIssuer
038979000MedicaidPR

Other names 1

  • Nutrika Low Profit LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1063091999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# 421 DALIAS STREET",
            "address_2": "URBANIZACION LOS PINOS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-981-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 421 DALIAS STREET",
            "address_2": "URBANIZACION LOS PINOS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-981-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIKA LOW PROFIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "GALARZA",
        "authorized_official_first_name": "YANIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-981-0949",
        "authorized_official_credential": "LND"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietary Manager",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038979000",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrika Low Profit LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Nutrika Low Profit LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.