Celibermari Rodriguez, LND, RD
Individual provider Active NPI Nutritionist · Ceiba, PR
NPI 1295891992 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295891992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- License
- 1420 (PR)
- Practice address
- 225 Calle 9
Brisas de Ceiba
Ceiba, PR 00735 - Phone
- (787) 475-3792
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071106000435 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 4486741527 |
Reassigns benefits to 1 organization Practice locations: Ceiba, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concilio de Salud Integral de Loiza, Inc. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1420 | PR | Yes |
Addresses
Primary practice location
225 Calle 9
Brisas de Ceiba
Ceiba, PR 00735
Mailing address
225 Calle 9
Brisas de Ceiba
Ceiba, PR 00735-3120
Phone (787) 475-3792
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4302481 | Other | PR | DRIVERS LICENCE |
Other providers in Ceiba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.