Individual provider Active NPI

Desiree M Aponte Casablanca, RDN, LND

  • Registered Dietitian
  • Guaynabo, PR
National Provider Identifier
1124859517
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2269 Issued in PR
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

Updated by the provider on Aug 9, 2024

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2269PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vibras Nutritivas Dietitian, Registered CurrentSince Sep 15, 2024 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.

Verify at the official NPI Registry.