Glendaliz Enid Acevedo Martinez, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2023 Issued in PR

Practice address

Calle Sergio Cuevas Butamante 550 Hato Rey, PR 00939
San Juan, PR 00939

Phone

(787) 758-8383

NPI assigned

Aug 1, 2017

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1346764206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 PASEO CONDADO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SERGIO CUEVAS BUTAMANTE 550 HATO REY, PR 00939",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00939",
            "telephone_number": "787-758-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO MARTINEZ",
        "first_name": "GLENDALIZ",
        "middle_name": "ENID",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Lourdes Acebal Lopez, M.D.
• Lorena Angeli Acevedo Fontanez
• Brian Oneill Acevedo Fuentes, MD
• Alexandra Maria Acevedo Guzman, DC
• Genesis Vanessa Acevedo Mangual
• Gilliany N. Acevedo Ojeda, DC
• Iris Miriam Acevedo Salinas, ND
• Rosangelica Acevedo Santana
• Alejandro Rafael Acevedo Vazquez
• Midnela Acevedo-Flores, M.D.

• Registered Dietitian in San Juan, PR
• Providers in San Juan, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.