Individual provider Active NPI

Jacqueline Martinez Chaluisant, RDN

  • Registered Dietitian
  • Carolina, PR
National Provider Identifier
1245996842
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
982631 Issued in PR
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
982631PRMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.