Organization Active NPI

Clinical Nutrition Center, LLC

  • Obesity and Weight Management Nutrition Registered Dietitian
  • San Juan, PR
National Provider Identifier
1205786142
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
Legal business name
CLINICAL NUTRITION CENTER, LLC
Practice address
611 Calle Pavia Ste 109
San Juan, PR 00909-2241
Phone
(787) 531-1036
NPI assigned
Jan 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Miss Onellys Medina Garcia, LND, ENSO
Title
Dietista Clinica
Phone
(787) 531-1036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1201X Primary

Addresses

Primary practice location

611 Calle Pavia Ste 109
San Juan, PR 00909-2241

Mailing address

611 Calle Pavia Ste 109
San Juan, PR 00909-2241
Phone (787) 531-1036

National Provider Directory

National Provider Directory

Locations

611 Calle Pavia
Ste 109
San Juan, PR 00909
Phone (787) 531-1036

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": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1205786142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA STE 109",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092241",
            "telephone_number": "787-531-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA STE 109",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092241",
            "telephone_number": "787-531-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NUTRITION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ONELLYS",
        "authorized_official_middle_name": "MEDINA",
        "authorized_official_title_or_position": "DIETISTA CLINICA",
        "authorized_official_telephone_number": "787-531-1036",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LND, ENSO"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.