Individual provider Active NPI

Ivonne Anglero, RD, LND, MMSC

  • Registered Dietitian
  • San Juan, PR
National Provider Identifier
1114069507
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
00579 Issued in PR
Practice address
Ingeniero Galindez Street CPRS Lobby
Terrenos de Centro Medico
San Juan, PR 00935-0001
Phone
(787) 756-8529
Fax
(787) 756-8529
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 00579 PR Primary

Addresses

Primary practice location

Ingeniero Galindez Street CPRS Lobby
Terrenos de Centro Medico
San Juan, PR 00935-0001

Mailing address

Urb Ponce de Leon
22 Street #191
Guaynabo, PR 00969-4433
Phone (787) 756-8529

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

LicenseStateTypeSpecialty
00579PRMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114069507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PONCE DE LEON",
            "address_2": "22 STREET #191",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694433",
            "telephone_number": "787-756-8529",
            "fax_number": "787-756-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INGENIERO GALINDEZ STREET CPRS LOBBY",
            "address_2": "TERRENOS DE CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-756-8529",
            "fax_number": "787-756-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLERO",
        "first_name": "IVONNE",
        "name_prefix": "Prof.",
        "credential": "RD, LND, MMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "00579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.