Individual provider Active NPI

Yahaira Aileen Feliciano, LND

  • Nutritionist
  • San Juan, PR
National Provider Identifier
1174023568
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2030 Issued in PR
Practice address
1551 Calle Alda
San Juan, PR 00926-2709
Phone
(787) 356-2134
NPI assigned
Feb 13, 2018
Last updated
Feb 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 2030 PR Primary

Addresses

Primary practice location

1551 Calle Alda
San Juan, PR 00926-2709

Mailing address

HC 1 Box 8515
Hatillo, PR 00659-7415
Phone (787) 356-2134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605000660 PR Practitioner - Registered Dietitian Or Nutrition Professional 5597098616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Ave Franklin D Roosevelt
Suite 101
San Juan, PR 00918-2129
Phone (787) 789-1996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo CurrentSince Dec 1, 2024 Accepting new patients

Locations

1 Ave Casa Linda
Bayamon, PR 00959

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

400 Ave Franklin D Roosevelt
Ste 101
San Juan, PR 00918
Phone (809) 765-7713

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1174023568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 8515",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006597415",
            "telephone_number": "787-356-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 CALLE ALDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262709",
            "telephone_number": "787-356-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "YAHAIRA",
        "middle_name": "AILEEN",
        "name_prefix": "Miss",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.