Individual provider Active NPI

Leslie E Munoz Alonso, LND

  • Nutritionist
  • Cayey, PR
National Provider Identifier
1265065858
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1126 Issued in PR
Practice address
59 Calle Jose Celso Barbosa S
Cayey, PR 00736-4726
Phone
(787) 385-3301
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X 1126 PR Primary

Addresses

Primary practice location

59 Calle Jose Celso Barbosa S
Cayey, PR 00736-4726

Mailing address

HC 71 Box 7247
Cayey, PR 00736-9556
Phone (787) 385-3301

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CAYEY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006000590 PR Practitioner - Registered Dietitian Or Nutrition Professional 8527487859 Practice locations: Cayey, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1265065858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 71 BOX 7247",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369556",
            "telephone_number": "787-385-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CALLE JOSE CELSO BARBOSA S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364726",
            "telephone_number": "787-385-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ ALONSO",
        "first_name": "LESLIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CAYEY",
            "affiliation": "N",
            "address_1": "59 Calle Jose Celso Barbosa S",
            "city": "Cayey",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007364726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 18, 2020; 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.