Jeannete Rivera Cruz, LIC.

Primary specialty

NutritionistTaxonomy code 133N00000X

License

964 Issued in PR

Practice address

Casa Lina Ave. #1 Suite 101
177 Route Los Filtros
Bayamon, PR 00969

Phone

(787) 789-1919

Fax

(787) 789-1921

NPI assigned

May 30, 2007

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica Las Americas Guaynabo, IncGroup PAC ID 3476504077, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clinica Las Americas Guaynabo, Inc

  dba Salus Guaynabo

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1326096058

  Nutritionist

  Medicare reassignment Care Compare group NPD
• Clinica Las Americas Guaynabo, Inc

  dba Centro Preventivo Hato Rey

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • San Juan, PR
  • NPI 1366053845
  NPD

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1174724843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 509",
            "address_2": "P.O.BOX 7891",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009707891",
            "telephone_number": "787-789-1919",
            "fax_number": "787-789-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASA LINA AVE. #1 SUITE 101",
            "address_2": "177 ROUTE LOS FILTROS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-789-1919",
            "fax_number": "787-789-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA CRUZ",
        "first_name": "JEANNETE",
        "name_prefix": "Mrs.",
        "credential": "LIC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2023-11-14",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarybette Rivera Calderon
• Rene Rivera Collazo Sr.
• Dalinette Rivera Colon, RPT
• Angel Raul Rivera Cotto Sr., MD
• Ellen Christina Rivera Cruz, M.D.
• Tatiana Rivera Cruz, LCSW
• Ana I Rivera de la Vega, M.D.
• Jose R. Rivera del Rio, MD
• Gabriel Rivera Espineira, MD
• Anibal Rivera Fernandez, MD

• Nutritionist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.