Active NPI
Leslie A. Vazquez Garcia
- Nutrition Education Nutritionist
- San Juan, PR
National Provider Identifier
1114349222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1876
- Practice address
- 926 Calle Zumbador
San Juan, PR 00924-3346 - Phone
- (787) 316-2144
- NPI assigned
- Jan 8, 2014
- 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 | 1876 | PR | Primary |
Addresses
Primary practice location
926 Calle Zumbador
San Juan, PR 00924-3346
Mailing address
926 Calle Zumbador
San Juan, PR 00924-3346
Phone (787) 316-2144
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1876 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1114349222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 CALLE ZUMBADOR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243346",
"telephone_number": "787-316-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 CALLE ZUMBADOR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009243346",
"telephone_number": "787-316-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ GARCIA",
"first_name": "LESLIE",
"middle_name": "A.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "1876",
"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 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.