Active NPI
Vanessa L Diaz Perez I, LND
- Nutritionist
- Caguas, PR
National Provider Identifier
1205212362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1932
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1932 | PR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutritional Health Center | Nutritionist | Current | Accepting new patients |
| Vita Care,LLC | Current | Accepting new patients |
Locations
2 Calle Munoz Rivera
Ste 310
Caguas, PR 00725
Phone (787) 234-3435
Interoperability endpoints
- 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.
-
- Nutritionist
- Caguas, PR
- NPI 1265224745
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1437693017
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.