Individual provider Active NPI

Adriana Guzman, RD

  • Registered Dietitian
  • Trujillo Alto, PR
National Provider Identifier
1295133577
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1045603 Issued in PR
Practice address
4V2 Calle 214
Colinas de Fair View
Trujillo Alto, PR 00976-8245
Phone
(787) 391-7086
NPI assigned
Dec 18, 2014
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1045603 PR Primary

Addresses

Primary practice location

4V2 Calle 214
Colinas de Fair View
Trujillo Alto, PR 00976-8245

Mailing address

4V2 Calle 214
Colinas de Fair View
Trujillo Alto, PR 00976-8245

Other identifiers 1

IdentifierTypeStateIssuer
1045603MedicaidPR

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
1045603PRMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1295133577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4V2 CALLE 214",
            "address_2": "COLINAS DE FAIR VIEW",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009768245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4V2 CALLE 214",
            "address_2": "COLINAS DE FAIR VIEW",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009768245",
            "telephone_number": "787-391-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ADRIANA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1045603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045603",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.