Organization Active NPI

Mennonite Diabetes Foundation Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Cayey, PR
National Provider Identifier
1366601809
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MENNONITE DIABETES FOUNDATION INC
Practice address
Domingo Torres BLDG
Suite 306
Cayey, PR 00737
Phone
(787) 535-1001
Fax
(787) 535-1059
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Miriam Aixa Quinones
Title
Executive Director
Phone
(787) 535-1001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X PR
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X PR Primary

Addresses

Primary practice location

Domingo Torres BLDG
Suite 306
Cayey, PR 00737

Mailing address

PO Box 373130
Cayey, PR 00737-3130
Phone (787) 535-1001

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1366601809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373130",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007373130",
            "telephone_number": "787-535-1001",
            "fax_number": "787-535-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOMINGO TORRES BLDG",
            "address_2": "SUITE 306",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-535-1001",
            "fax_number": "787-535-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNONITE DIABETES FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "AIXA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-535-1001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.