Active NPI
Lillian Rodriguez, LND, M.ED.
- Nutrition Education Nutritionist
- Trujillo Alto, PR
National Provider Identifier
1235376765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 460
- Practice address
- 1 Ave Periferal 1111-a
Cond Cuidad Universitaria
Trujillo Alto, PR 00976 - Phone
- (787) 374-1402
- NPI assigned
- Jan 21, 2009
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 460 | PR | Primary |
Addresses
Primary practice location
1 Ave Periferal 1111-a
Cond Cuidad Universitaria
Trujillo Alto, PR 00976
Mailing address
1 Ave. Periferal 1111-a
Cond. Ciudad Universitaria
Trujillo Alto, PR 00976-2124
Phone (787) 374-1402
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
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1235376765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 AVE. PERIFERAL 1111-A",
"address_2": "COND. CIUDAD UNIVERSITARIA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762124",
"telephone_number": "787-374-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AVE PERIFERAL 1111-A",
"address_2": "COND CUIDAD UNIVERSITARIA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-374-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LILLIAN",
"credential": "LND, M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "460",
"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 Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.