Individual provider Active NPI

Liana Maria Astacio, LND

  • Registered Dietitian
  • Trujillo Alto, PR
National Provider Identifier
1215188503
Registry record updated Oct 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1371 Issued in PR
Practice address
44 Quebrada Grande
Urb. Corrientes
Trujillo Alto, PR 00976-6180
Phone
(787) 644-3013
NPI assigned
Oct 5, 2008
Last updated
Oct 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1371 PR Primary

Addresses

Primary practice location

44 Quebrada Grande
Urb. Corrientes
Trujillo Alto, PR 00976-6180

Mailing address

44 Quebrada Grande
Urb. Corrientes
Trujillo Alto, PR 00976-6180
Phone (787) 644-3013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1371PRMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1223164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223164800000",
    "number": "1215188503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 QUEBRADA GRANDE",
            "address_2": "URB. CORRIENTES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766180",
            "telephone_number": "787-644-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 QUEBRADA GRANDE",
            "address_2": "URB. CORRIENTES",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766180",
            "telephone_number": "787-644-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTACIO",
        "first_name": "LIANA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-05",
        "last_updated": "2008-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2008; 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.