Debora Enid Sosa Caraballo, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1569 Issued in PR

Practice address

HC 4 Box 19756
Gurabo, PR 00778-8841

Phone

(787) 605-1102

NPI assigned

Apr 4, 2011

Last updated

Feb 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avivir LLC

  • Registered Dietitian
  • Gurabo, PR
  • NPI 1497510788
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1417246117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 19756",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007788841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 19756",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007788841",
            "telephone_number": "787-605-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA CARABALLO",
        "first_name": "DEBORA",
        "middle_name": "ENID",
        "name_prefix": "Miss",
        "credential": "LND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Chiropractic Studio LLC
• Indianeth Serra, MSW
• Sistema Universitario Ana G Mendez
• Katherine Smith, ND
• Eddie A Soltren Roldan, MA
• Daniel Soto Soto, DMD
• Madeline Soto, PT437
• Souls in Motion Creative Therapy Center LLC
• Yarelis Marie Suarez Manzano
• Rodolfo Antonio Tardy, M.D.

• Nutritionist in Gurabo, PR
• Providers in Gurabo, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.

Verify at the official NPI Registry.