Active NPI
Stephany Almodovar, LND, RDN, MSCHN
- Nutritionist
- Guanica, PR
National Provider Identifier
1063931079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1983
- Practice address
- 16 Calle San Antonio
Urb. Sagrado Corazon
Guanica, PR 00653 - Phone
- (787) 805-2900
- NPI assigned
- Sep 12, 2017
- Last updated
- Sep 12, 2017
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1983 | PR | Primary |
Addresses
Primary practice location
16 Calle San Antonio
Urb. Sagrado Corazon
Guanica, PR 00653
Mailing address
Urb. Sagrado Corazon
16 Calle San Antonio
Guanica, PR 00653
Phone (787) 379-1414
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 |
|---|---|---|---|
| 1983 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505174400000",
"number": "1063931079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. SAGRADO CORAZON",
"address_2": "16 CALLE SAN ANTONIO",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"telephone_number": "787-379-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 CALLE SAN ANTONIO",
"address_2": "URB. SAGRADO CORAZON",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"telephone_number": "787-805-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMODOVAR",
"first_name": "STEPHANY",
"name_prefix": "Mrs.",
"credential": "LND, RDN, MSCHN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2017-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guanica, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.