Active NPI
Patricia Pantoja, LND
- Nutritionist
- Naranjito, PR
National Provider Identifier
1396134946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1887
- Practice address
- Carretera 164 Sector El Desvio
Naranjito, PR 00719-0515 - Phone
- (787) 869-1290
- NPI assigned
- Jan 21, 2015
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1887 | PR | Primary |
Addresses
Primary practice location
Carretera 164 Sector El Desvio
Naranjito, PR 00719-0515
Mailing address
Edif Vistas del Rio
Edif. # 4 Apart. 25 B
Bayamon, PR 00959-8841
Phone (787) 408-0546
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 |
|---|---|---|---|
| 1887 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1396134946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EDIF VISTAS DEL RIO",
"address_2": "EDIF. # 4 APART. 25 B",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009598841",
"telephone_number": "787-408-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 164 SECTOR EL DESVIO",
"city": "NARANJITO",
"state": "PR",
"postal_code": "007190515",
"telephone_number": "787-869-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTOJA",
"first_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "LND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naranjito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.