Editzel Marie Martinez Soberal, RDN, LND

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

Carr 2 KM 93.1
Bo Membrillo
Camuy, PR 00627

Phone

(787) 560-4592

NPI assigned

Nov 10, 2020

Last updated

Sep 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1235731837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 25895",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279484",
            "telephone_number": "787-560-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 93.1",
            "address_2": "BO MEMBRILLO",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-560-4592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr. 486 Int. 488 Km 1 H5",
            "address_purpose": "LOCATION",
            "city": "Camuy",
            "state": "PR",
            "postal_code": "00627",
            "country_code": "US",
            "telephone_number": "787-560-4592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ SOBERAL",
        "first_name": "EDITZEL",
        "middle_name": "MARIE",
        "credential": "RDN, LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yonaira Marrero, RPT
• Jenismarie Martinez Caban, MSW
• Giancarlo Martinez Tellado, MD
• Maria Martinez, PHARMACIST
• Sofia Alexandra Martir Gonzalez
• MC Clinic LLC
• MCT Psychology, LLC

• Registered Dietitian in Camuy, PR
• Providers in Camuy, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.