Active NPI
Carmen R Cabrera-Rodriguez
- Nutritionist
- San Juan, PR
National Provider Identifier
1275584674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1201
- Practice address
- Cond Torres de Andalucia I
Apt 302
San Juan, PR 00926 - Phone
- (939) 499-4964
- NPI assigned
- May 12, 2006
- 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 | 1201 | PR | Primary |
Addresses
Primary practice location
Cond Torres de Andalucia I
Apt 302
San Juan, PR 00926
Mailing address
1 Calle Almonte Apt 302
San Juan, PR 00926-2408
Phone (787) 367-9805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0057178 | Other | PR | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000429 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 5799723490 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1275584674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CALLE ALMONTE APT 302",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009262408",
"telephone_number": "787-367-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND TORRES DE ANDALUCIA I",
"address_2": "APT 302",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "939-499-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA-RODRIGUEZ",
"first_name": "CARMEN",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2021-10-28",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0057178",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.