Individual provider Active NPI

Adelaida Caban, LND

  • Nutritionist
  • Aguadilla, PR
National Provider Identifier
1144589011
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1342 Issued in PR
Practice address
536 Ave Victoria
Aguadilla, PR 00603-4623
Phone
(787) 509-7401
NPI assigned
May 11, 2012
Last updated
Jan 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1342 PR Primary

Addresses

Primary practice location

536 Ave Victoria
Aguadilla, PR 00603-4623

Mailing address

326 Calle Jesus Ramos
Moca, PR 00676-4576
Phone (787) 509-7401

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

LicenseStateTypeSpecialty
1342PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion de Medicos de Puerto Rico Ms Inc Nutritionist CurrentSince Aug 14, 2022 Accepting new patients
Aoa Ophthalmic Group LLC CurrentSince Jul 17, 2022 Accepting new patients

Locations

536 Ave Victoria
Aguadilla, PR 00603
Phone (787) 509-7401

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1144589011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CALLE JESUS RAMOS",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764576",
            "telephone_number": "787-509-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 AVE VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006034623",
            "telephone_number": "787-509-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABAN",
        "first_name": "ADELAIDA",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; 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.