Active NPI
Ingrid Pamela Cruz Santiago Sr., LND
- Nutritionist
- Caguas, PR
National Provider Identifier
1205595832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2114
- Practice address
- Esquina Troche
Av. Rafael Cordero
Caguas, PR 00726-1025 - Phone
- (787) 745-0340
- NPI assigned
- Dec 10, 2021
- Last updated
- Apr 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 2114 | PR | Primary |
Addresses
Primary practice location
Esquina Troche
Av. Rafael Cordero
Caguas, PR 00726-1025
Mailing address
Paseo Melao H-18 #104
Juncos, PR 00777
Phone (787) 204-2402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2114 | PR | MD | Laboratory Management Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc. | Current | Accepting new patients | |
| Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc | Nutritionist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Caguas, PR
- NPI 1548321029
-
- Nutritionist
- Caguas, PR
- NPI 1689179160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1205595832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PASEO MELAO H-18 #104",
"city": "JUNCOS",
"state": "PR",
"postal_code": "00777",
"telephone_number": "787-204-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ESQUINA TROCHE",
"address_2": "AV. RAFAEL CORDERO",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007261025",
"telephone_number": "787-745-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ SANTIAGO",
"first_name": "INGRID",
"middle_name": "PAMELA",
"name_prefix": "Mrs.",
"name_suffix": "Sr.",
"credential": "LND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2024-04-30",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "2114",
"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 Apr 30, 2024; 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.