Tu Clinica de Nutricion Y Bienestar Corp.

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1840 Issued in PR

Legal business name

TU CLINICA DE NUTRICION Y BIENESTAR CORP.

Practice address

1 Calle Eulalio Reveron
Yabucoa, PR 00767

Phone

(787) 475-4933

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Suarez SerranoNPI 1043646227

Title

Owner

Phone

(787) 475-4933

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Jennifer Suarez Serrano, LND

  • Nutritionist
  • Caguas, PR
  • NPI 1043646227
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1073055299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C13 CALLE 2",
            "address_2": "URB JAIME RODRIGUEZ",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-475-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE EULALIO REVERON",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-475-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU CLINICA DE NUTRICION Y BIENESTAR CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "SUAREZ SERRANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-475-4933"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sorivette Surillo-Ortiz, MD
• Terapiame C.P.
• Malma L. Toro
• Arturo J Torres-Borges, MD
• Nestor O Torres Sr., MSW
• Jennifer Valdes Cochran, M.D.
• Valley Pediatrics
• Betzaida Vazquez, BSN RN
• Edgar F Vazquez, DMD
• Kevin Vazquez, TS

• Nutritionist in Yabucoa, PR
• Providers in Yabucoa, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.