Active NPI
Myrna Berrios, NUTRITIONIST
- Nutrition Education Nutritionist
- Guaynabo, PR
National Provider Identifier
1376989798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 629
- Practice address
- B5 Calle Tabonuco Ste 211
Galeria San Patricio
Guaynabo, PR 00968-3013 - Phone
- (787) 522-0540
- Fax
- (787) 522-0541
- NPI assigned
- May 13, 2013
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 629 | PR | Primary |
Addresses
Primary practice location
B5 Calle Tabonuco Ste 211
Galeria San Patricio
Guaynabo, PR 00968-3013
Mailing address
B5 Tabonuco Street Galeria San Patricio
Suite 211
Guaynabo, PR 00968
Phone (787) 522-0540
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1376989798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B5 TABONUCO STREET GALERIA SAN PATRICIO",
"address_2": "SUITE 211",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00968",
"telephone_number": "787-522-0540",
"fax_number": "787-522-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "B5 CALLE TABONUCO STE 211",
"address_2": "GALERIA SAN PATRICIO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009683013",
"telephone_number": "787-522-0540",
"fax_number": "787-522-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRIOS",
"first_name": "MYRNA",
"name_prefix": "Mrs.",
"credential": "NUTRITIONIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.