Organization Active NPI

Nutrivate, CSP

  • Nutrition Education Nutritionist
  • Carolina, PR
National Provider Identifier
1265026769
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
NUTRIVATE, CSP
Practice address
33-5 Calle 11
Carolina, PR 00985-5436
Phone
(787) 225-6040
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Sonia Y Cruz
Title
Nutritionist/Dietitian
Phone
(787) 220-9051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

33-5 Calle 11
Carolina, PR 00985-5436

Mailing address

L8 Calle Monte Membrillo
Carolina, PR 00987-8023
Phone (787) 220-9051

National Provider Directory

National Provider Directory

Locations

33-5 Calle 11
Carolina, PR 00985
Phone (787) 225-6040

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1265026769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L8 CALLE MONTE MEMBRILLO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878023",
            "telephone_number": "787-220-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-5 CALLE 11",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855436",
            "telephone_number": "787-225-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIVATE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "NUTRITIONIST/DIETITIAN",
        "authorized_official_telephone_number": "787-220-9051"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "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 24, 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.

Verify at the official NPI Registry.