Active NPI
Ruben Gonzales Perales, R.D., L.D., C.N.S.D.
- Registered Dietitian
- Corpus Christi, TX
National Provider Identifier
1407034739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT07692
- Practice address
- 6161 Angus Dr
Corpus Christi, TX 78415-5673 - Phone
- (361) 585-3028
- NPI assigned
- Feb 8, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT07692 | TX | Primary |
Addresses
Primary practice location
6161 Angus Dr
Corpus Christi, TX 78415-5673
Mailing address
6161 Angus Dr
Corpus Christi, TX 78415-5673
Phone (361) 855-7043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130821000238 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 4587807698 | Practice locations: Corpus Christi, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients | |
| Kidney Specialists of South Texas, P.a. | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- Nephrology Physician
- Corpus Christi, TX
- NPI 1699778068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523059200000",
"number": "1407034739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 ANGUS DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784155673",
"telephone_number": "361-855-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 ANGUS DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784155673",
"telephone_number": "361-585-3028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALES",
"first_name": "RUBEN",
"middle_name": "GONZALES",
"name_prefix": "Mr.",
"credential": "R.D., L.D., C.N.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-08",
"last_updated": "2018-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT07692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.