Active NPI
Vivian Green Echavarria, LND, MSC, PHD
- Registered Dietitian
- Ponce, PR
National Provider Identifier
1316063092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 892
- Practice address
- Ana D. Perrz Marchado Street Urb. Industrial Reparada,
Public Health Program, Ponce School of Medicine
Ponce, PR 00732-7004 - Phone
- (787) 840-2575
- Fax
- (787) 259-0661
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 892 | PR | Primary |
Addresses
Primary practice location
Ana D. Perrz Marchado Street Urb. Industrial Reparada,
Public Health Program, Ponce School of Medicine
Ponce, PR 00732-7004
Mailing address
827 Serenidad Street
Urb. Paraiso de Coamo
Coamo, PR 00769
Phone (787) 840-2575
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 892 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316063092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 SERENIDAD STREET",
"address_2": "URB. PARAISO DE COAMO",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-840-2575",
"fax_number": "787-259-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ANA D. PERRZ MARCHADO STREET URB. INDUSTRIAL REPARADA,",
"address_2": "PUBLIC HEALTH PROGRAM, PONCE SCHOOL OF MEDICINE",
"city": "PONCE",
"state": "PR",
"postal_code": "007327004",
"telephone_number": "787-840-2575",
"fax_number": "787-259-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN ECHAVARRIA",
"first_name": "VIVIAN",
"name_prefix": "Dr.",
"credential": "LND, MSC, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.