Individual provider Active NPI

Zulma E Mateo Vazquez

  • Registered Dietitian
  • Ponce, PR
National Provider Identifier
1144576760
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
623 Issued in PR
Practice address
2225 Ponce by Pass Suite 509
Parra Medical Institute
Ponce, PR 00717-1382
Phone
(787) 284-7150
Fax
(787) 842-1199
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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 623 PR Primary

Addresses

Primary practice location

2225 Ponce by Pass Suite 509
Parra Medical Institute
Ponce, PR 00717-1382

Mailing address

2225 Ponce by Pass Suite 509
Parra Medical Institute
Ponce, PR 00717-1382
Phone (787) 284-7150

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
623PRMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1144576760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS SUITE 509",
            "address_2": "PARRA MEDICAL INSTITUTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171382",
            "telephone_number": "787-284-7150",
            "fax_number": "787-842-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS SUITE 509",
            "address_2": "PARRA MEDICAL INSTITUTE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171382",
            "telephone_number": "787-284-7150",
            "fax_number": "787-842-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO VAZQUEZ",
        "first_name": "ZULMA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.