Active NPI
Desiree M Aponte Casablanca, RDN, LND
- Registered Dietitian
- Guaynabo, PR
National Provider Identifier
1124859517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2269
- Practice address
- Edificio Caribbean Cinema
Suite 201 Plaza Guaynabo
Guaynabo, PR 00969-5253 - Phone
- (787) 731-4949
- NPI assigned
- Aug 8, 2024
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2269 | PR | Primary |
Addresses
Primary practice location
Edificio Caribbean Cinema
Suite 201 Plaza Guaynabo
Guaynabo, PR 00969-5253
Mailing address
Mansiones Reales Paseo de la Reina J3
Guaynabo, PR 00969-5253
Phone (787) 313-1883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250123001700 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 0840729646 | Practice locations: San Juan, PR; Guaynabo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2269 | PR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibras Nutritivas | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1124859517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MANSIONES REALES PASEO DE LA REINA J3",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695253",
"telephone_number": "787-313-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO CARIBBEAN CINEMA",
"address_2": "SUITE 201 PLAZA GUAYNABO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695253",
"telephone_number": "787-731-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APONTE CASABLANCA",
"first_name": "DESIREE",
"middle_name": "M",
"credential": "RDN, LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "2269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.