Individual provider Active NPI

Norka Iris Garcia Aviles

  • Nutritionist
  • San Juan, PR
National Provider Identifier
1154087070
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2117 Issued in PR
Practice address
1492 Ave Ponce de Leon
Edificio Centro Europa 717
San Juan, PR 00907
Phone
(787) 723-5017
Fax
(787) 723-5015
NPI assigned
Nov 15, 2021
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 2117 PR Primary

Addresses

Primary practice location

1492 Ave Ponce de Leon
Edificio Centro Europa 717
San Juan, PR 00907

Mailing address

PO Box 3133
Bayamon, PR 00960-3133

Other practice location 1

Carr 863 KM 1.1
Bo Pajaros
Toa Baja, PR 00960
Phone (787) 798-0280

Other identifiers 1

IdentifierTypeStateIssuer
2117OtherPRPROFESSIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119000147 PR Practitioner - Registered Dietitian Or Nutrition Professional 8628460920 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2117PRMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiomed LLC CurrentSince Dec 12, 2021 Accepting new patients
Cardiovascular Healthcare LLC CurrentSince Dec 12, 2021 Accepting new patients

Locations

1492 Ave Ponce de Leon
Ste 717
Santurce, PR 00907
Phone (787) 462-0646

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1154087070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3133",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009603133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 AVE PONCE DE LEON",
            "address_2": "EDIFICIO CENTRO EUROPA 717",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-723-5017",
            "fax_number": "787-723-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 863 KM 1.1",
            "address_2": "BO PAJAROS",
            "address_purpose": "LOCATION",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00960",
            "country_code": "US",
            "telephone_number": "787-798-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA AVILES",
        "first_name": "NORKA",
        "middle_name": "IRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "2117",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.