Organization Active NPI

KCN-Nutricion Con Bienestar LLC

  • Nutrition Education Nutritionist
  • Caguas, PR
National Provider Identifier
1194318519
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
KCN-NUTRICION CON BIENESTAR LLC
Practice address
Bo Canabon Sector la Union
Carr 156 KM 55.3
Caguas, PR 00725-0070
Phone
(787) 469-4784
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Karilyn Claudio Navarro, NUTRICIONISTANPI 1083082648
Title
Administradora
Phone
(787) 469-4784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

Bo Canabon Sector la Union
Carr 156 KM 55.3
Caguas, PR 00725-0070

Mailing address

PO Box 463
Aguas Buenas, PR 00703-0463
Phone (787) 469-4784

Other names 1

  • KCN-NUTRICION CON BIENESTAR LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CLAUDIO.KARILYN@GMAIL.COM Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309000482 PR Part B Supplier - Clinic/Group Practice 0244624237 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1194318519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "007030463",
            "telephone_number": "787-469-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO CANABON SECTOR LA UNION",
            "address_2": "CARR 156 KM 55.3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250070",
            "telephone_number": "787-469-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCN-NUTRICION CON BIENESTAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "CLAUDIO NAVARRO",
        "authorized_official_first_name": "KARILYN",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-469-4784",
        "authorized_official_credential": "NUTRICIONISTA"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CLAUDIO.KARILYN@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "EMAIL",
            "address_1": "BO CANABON SECTOR LA UNION",
            "address_2": "CARR 156 KM 55.3",
            "city": "CAGUAS",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007250070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KCN-NUTRICION CON BIENESTAR LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.