Active NPI
Wilma Cruz, LND
- Registered Dietitian
- Bayamon, PR
National Provider Identifier
1174828230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1476
- Practice address
- H2 Ave Castiglioni
Bayamon Garden
Bayamon, PR 00957-2427 - Phone
- (787) 203-0211
- Fax
- (787) 730-7073
- NPI assigned
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1476 | PR | Primary |
Addresses
Primary practice location
H2 Ave Castiglioni
Bayamon Garden
Bayamon, PR 00957-2427
Mailing address
Jose Severo Quinones
Ee-16 Sanchez Rohna
Carolina, PR 00985
Phone (787) 203-0211
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1476 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1174828230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JOSE SEVERO QUINONES",
"address_2": "EE-16 SANCHEZ ROHNA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-203-0211",
"fax_number": "787-730-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "H2 AVE CASTIGLIONI",
"address_2": "BAYAMON GARDEN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009572427",
"telephone_number": "787-203-0211",
"fax_number": "787-730-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "WILMA",
"name_prefix": "Miss",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.