Active NPI
Elizabeth Ruiz Feliciano, DIETISTA
- Nutrition Education Nutritionist
- Hormigueros, PR
National Provider Identifier
1063663409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 642
- Practice address
- 4027 Calle Majestad
Urbanizacion Montebello
Hormigueros, PR 00660-1271 - Phone
- (787) 223-9517
- Fax
- (787) 849-3055
- NPI assigned
- Oct 3, 2008
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 642 | PR | Primary |
Addresses
Primary practice location
4027 Calle Majestad
Urbanizacion Montebello
Hormigueros, PR 00660-1271
Mailing address
4027 Calle Majestad
Urbanizacion Montebello
Hormigueros, PR 00660-1271
Phone (787) 223-9517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| # 642 | Other | PR | NUTRITION PROFESSIONAL |
Other names 1
- Mrs. Elizabeth Ruiz Feliciano
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1063663409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4027 CALLE MAJESTAD",
"address_2": "URBANIZACION MONTEBELLO",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006601271",
"telephone_number": "787-223-9517",
"fax_number": "787-849-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4027 CALLE MAJESTAD",
"address_2": "URBANIZACION MONTEBELLO",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006601271",
"telephone_number": "787-223-9517",
"fax_number": "787-849-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "ELIZABETH",
"middle_name": "RUIZ",
"credential": "DIETISTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NUTRITION PROFESSIONAL",
"identifier": "# 642",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "FELICIANO",
"middle_name": "RUIZ",
"prefix": "MRS.",
"credential": "DIETISTA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hormigueros, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.