Active NPI
Jacqueline Martinez Chaluisant, RDN
- Registered Dietitian
- Carolina, PR
National Provider Identifier
1245996842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 982631
- Practice address
- Calle 266 Ave. El Comandante
3Rd Ext. Country Club
Carolina, PR 00982-2767 - Phone
- (787) 484-0384
- NPI assigned
- Nov 9, 2021
- Last updated
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1557 | PR | |
| Registered Dietitian | 133V00000X | 982631 | PR | Primary |
Addresses
Primary practice location
Calle 266 Ave. El Comandante
3Rd Ext. Country Club
Carolina, PR 00982-2767
Mailing address
9 Calle 1 Apt I318
Trujillo Alto, PR 00976-2469
Phone (787) 484-0384
Other practice location 1
Puerto Rico Medical Services Administration
Bo Monacillos Carr #22
San Juan, PR 00935-0001
Phone (787) 777-3535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220615002295 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 0143609594 | Practice locations: Carolina, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 982631 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care and More LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Carolina, PR
- NPI 1023881059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1245996842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CALLE 1 APT I318",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009762469",
"telephone_number": "787-484-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 266 AVE. EL COMANDANTE",
"address_2": "3RD EXT. COUNTRY CLUB",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009822767",
"telephone_number": "787-484-0384"
}
],
"practiceLocations": [
{
"address_1": "Puerto Rico Medical Services Administration",
"address_2": "Bo Monacillos Carr #22",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009350001",
"country_code": "US",
"telephone_number": "787-777-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ CHALUISANT",
"first_name": "JACQUELINE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2024-02-28",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "1557",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "982631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
- Martell Enterprises Inc (Audiosalud Centro Audiologico Alivio Dorado)
- Wilson Martell Jovet
- Orlando R. Martin, DMD
- Yanelis Martin, NURSE PRACTITIONER
- Kathiria Martinez Alicea
- Jeannie Ann Martinez Chapman, LP
- Genesis Martinez Ducos, PHARMACY TECHNICIAN
- Anisonia Martinez Hernandez, MD
- Norma Martinez Lopez
- Beatriz Martinez Ortiz, LND MPHN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.