Individual provider Active NPI

Emilisse Francheska Ramos, LND

  • Nutrition Education Nutritionist
  • Carolina, PR
National Provider Identifier
1265063572
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
2122 Issued in PR
Practice address
KM 13., 3 Calle 4
Carolina, PR 00918
Phone
(787) 993-4990
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 2122 PR Primary

Addresses

Primary practice location

KM 13., 3 Calle 4
Carolina, PR 00918

Mailing address

Urb. Los Dominicos
Calle San Agustin B43
Bayamon, PR 00957
Phone (787) 585-6669

Other practice location 1

Cll Santa Cruz
Bayamon, PR 00959
Phone (787) 787-2387

Other identifiers 2

IdentifierTypeStateIssuer
038141501MedicaidPR
1265063572OtherPRNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carolinaext@metropaviaclinic.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2122PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1265063572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LOS DOMINICOS",
            "address_2": "CALLE SAN AGUSTIN B43",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-585-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KM 13., 3 CALLE 4",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-993-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cll Santa Cruz",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-787-2387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "EMILISSE",
        "middle_name": "FRANCHESKA",
        "credential": "LND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038141501",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265063572",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolinaext@metropaviaclinic.com",
            "affiliation": "N",
            "endpointDescription": "Email de la Clinica de Carolina.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Km 13., 3 Calle 4",
            "city": "Carolina",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 4, 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.