Active NPI
Maria R Varela-Ortiz, LND
- Nutritionist
- Hato Rey, PR
National Provider Identifier
1205034717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 869
- Practice address
- 196 Calle Juan P Duarte
Primer Piso Cond Duarte
Hato Rey, PR 00917-3611 - Phone
- (787) 759-6909
- Fax
- (787) 758-6972
- NPI assigned
- Jul 5, 2007
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 869 | PR | Primary |
Addresses
Primary practice location
196 Calle Juan P Duarte
Primer Piso Cond Duarte
Hato Rey, PR 00917-3611
Mailing address
401 Ave Americo Miranda
Coop Los Robles Apt 706-B
San Juan, PR 00927-4632
Phone (787) 758-6972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6500090 | Other | PR | HUMANA |
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 |
|---|---|---|---|
| 869 | PR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205034717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 AVE AMERICO MIRANDA",
"address_2": "COOP LOS ROBLES APT 706-B",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274632",
"telephone_number": "787-758-6972",
"fax_number": "787-758-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 CALLE JUAN P DUARTE",
"address_2": "PRIMER PISO COND DUARTE",
"city": "HATO REY",
"state": "PR",
"postal_code": "009173611",
"telephone_number": "787-759-6909",
"fax_number": "787-758-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARELA-ORTIZ",
"first_name": "MARIA",
"middle_name": "R",
"name_prefix": "Miss",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6500090",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.