Active NPI
Clinical Nutrition Center, LLC
- Obesity and Weight Management Nutrition Registered Dietitian
- San Juan, PR
National Provider Identifier
1205786142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 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 DirectoryLocations
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.
-
- Nutritionist
- Aguadilla, PR
- NPI 1821351636
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.