Active NPI
Yazmin Yadira Roman Perez
- Nutritionist
- Canovanas, PR
National Provider Identifier
1356508832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1395
- Practice address
- Carretera 3 KM 199
Canovanas, PR 00729-0000 - Phone
- (787) 256-5555
- Fax
- (787) 256-5555
- NPI assigned
- May 21, 2008
- Last updated
- May 21, 2008
- 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 | 1395 | PR | Primary |
Addresses
Primary practice location
Carretera 3 KM 199
Canovanas, PR 00729-0000
Mailing address
K16 Calle Anon
Valle Arriba Heights
Carolina, PR 00983-3464
Phone (787) 602-9431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Carr 190
8 Sabana Abajo
Carolina, PR 00983-7401
Phone (787) 789-1996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1395 | PR | MD | Nutritionist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Salus Guaynabo
- Multi-Specialty Clinic/Center
- Bayamon, PR
- NPI 1326096058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1356508832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "K16 CALLE ANON",
"address_2": "VALLE ARRIBA HEIGHTS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009833464",
"telephone_number": "787-602-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 3 KM 199",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007290000",
"telephone_number": "787-256-5555",
"fax_number": "787-256-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN PEREZ",
"first_name": "YAZMIN",
"middle_name": "YADIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.