Professional Nutrition by Lcda. Daina Vega Miranda LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

PROFESSIONAL NUTRITION BY LCDA. DAINA VEGA MIRANDA LLC

Practice address

Urb Atenas B-36 Calle Elliot Velez
Manati, PR 00674

Phone

(787) 664-7772

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Daina Vega, LNDNPI 1669745063

Title

President

Phone

(787) 226-8503

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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

• Daina Vega, L.N.D.

  • Nutritionist
  • Manati, PR
  • NPI 1669745063
  Medicare reassignment NPD Authorized official
• Viangely P Perales, RDN, LND, MHSN

  • Registered Dietitian
  • Manati, PR
  • NPI 1821812017
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1114532207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CALLE CAMINO PALMAR URB. CAMINO DEL SOL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-226-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ATENAS B-36 CALLE ELLIOT VELEZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-664-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NUTRITION BY LCDA. DAINA VEGA MIRANDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "DAINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-226-8503",
        "authorized_official_credential": "LND"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Puerto Rico Clinical Reference Laboratory
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• Puerto Rico Gastroenterology LLC

• All providers in Manati, PR
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.