Active NPI
Yelitza Bultron Ortiz, LND
- Nutritionist
- Cayey, PR
National Provider Identifier
1255735155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1053
- Practice address
- 5197 Ave. Miguel de Muesas
Chalets Las Muesas
Cayey, PR 00736 - Phone
- (787) 428-6686
- NPI assigned
- Oct 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1053 | PR | Primary |
Addresses
Primary practice location
5197 Ave. Miguel de Muesas
Chalets Las Muesas
Cayey, PR 00736
Mailing address
5197 Ave Miguel de Muesas
Chalets Las Muesas
Cayey, PR 00736
Phone (787) 428-6686
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1053 | PR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633132800000",
"number": "1255735155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5197 AVE MIGUEL DE MUESAS",
"address_2": "CHALETS LAS MUESAS",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-428-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5197 AVE. MIGUEL DE MUESAS",
"address_2": "CHALETS LAS MUESAS",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-428-6686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULTRON ORTIZ",
"first_name": "YELITZA",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2021-10-02",
"certification_date": "2021-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.