Fundacion Pediatrica de Diabetes

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

FUNDACION PEDIATRICA DE DIABETES

Practice address

260 Calle Convento
2 Floor
San Juan, PR 00912

Phone

(787) 633-6373

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Mariana Benitez

Title

Directora Ejecutiva

Phone

(787) 633-6310

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1184350449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6453",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009146453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CALLE CONVENTO",
            "address_2": "2 FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-633-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDACION PEDIATRICA DE DIABETES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-09-09",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-633-6310",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Fuller, MS, RD, LND
• Ileana Mercedes Fumero, M.D.
• Jose Roberto Fumero, MD
• Fundacion de Investigacion de Diego (Fundacion de Investigacion)
• Fundacion Oncology Network LLC
• Mercedes Fuste, DMD
• Frances Zadette Fuster Astor, MD
• Andrea Fuster, DC
• Iris Fuster, LICENSEDPSYCHOLOGIST
• Jaime L. Fuster, M.D.

• Nutrition Education Nutritionist in San Juan, PR
• Providers in San Juan, PR by specialty
• Nutrition Education Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.