Individual provider Active NPI

Vanessa L Diaz Perez I, LND

  • Nutritionist
  • Caguas, PR
National Provider Identifier
1205212362
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1932 Issued in PR
Practice address
Professional Center Building Suite #310
Caguas, PR 00725
Phone
(787) 234-3435
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1932 PR Primary

Addresses

Primary practice location

Professional Center Building Suite #310
Caguas, PR 00725

Mailing address

800 Caminito Alto I Carr 189
Apt 942
Gurabo, PR 00778
Phone (787) 234-3435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416001045 PR Practitioner - Registered Dietitian Or Nutrition Professional 7113335969 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Ave Cupey Gardens 200
Cupey Gardens Plaza
San Juan, PR 00926
Phone (787) 760-4425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1932PRMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nutritional Health Center Nutritionist CurrentSince May 11, 2025 Accepting new patients
Vita Care,LLC CurrentSince Jan 7, 2021 Accepting new patients

Locations

2 Calle Munoz Rivera
Ste 310
Caguas, PR 00725
Phone (787) 234-3435

Interoperability endpoints

  • Direct secure messaging: vanessa.diazperez.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1205212362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CAMINITO ALTO I CARR 189",
            "address_2": "APT 942",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-234-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROFESSIONAL CENTER BUILDING SUITE #310",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-234-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PEREZ",
        "first_name": "VANESSA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 24, 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.