Active NPI
Mirta Yaris Rodriguez, LND
- Nutrition Education Nutritionist
- San Juan, PR
National Provider Identifier
1396903290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1281
- Practice address
- Street Via Cumbres H-8 la Vista
San Juan, PR 00924 - Phone
- (787) 276-1541
- NPI assigned
- May 28, 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1281 | PR | Primary |
Addresses
Primary practice location
Street Via Cumbres H-8 la Vista
San Juan, PR 00924
Mailing address
Street Via Cumbres H-8 la Vista
San Juan, PR 00924
Phone (787) 276-1541
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 |
|---|---|---|---|
| 1281 | PR | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1396903290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STREET VIA CUMBRES H-8 LA VISTA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-276-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET VIA CUMBRES H-8 LA VISTA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-276-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MIRTA",
"middle_name": "YARIS",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "1281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.