Active NPI
Brenda L Martinez Fernandez
- Registered Dietitian
- Guayama, PR
National Provider Identifier
1427420090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1760
- Practice address
- Urb. Villa Rosa III
A-23
Guayama, PR 00784 - Phone
- (787) 362-2927
- NPI assigned
- Oct 22, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1760 | PR | |
| Registered Dietitian | 133V00000X | 1760 | PR | Primary |
Addresses
Primary practice location
Urb. Villa Rosa III
A-23
Guayama, PR 00784
Mailing address
HC 02 Box 4839
Guayama, PR 00784
Phone (787) 362-2927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220203000549 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 4587057104 | Practice locations: Guayama, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1760 | PR | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1427420090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 02 BOX 4839",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-362-2927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. VILLA ROSA III",
"address_2": "A-23",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-362-2927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ FERNANDEZ",
"first_name": "BRENDA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1760",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guayama, PR
- Luis Adrian Rivera Pomales, MD, Mba, MPH, CCD, Dabbm, CSP
- Christian G Madera Martin
- Yessenia Marquez Torres
- Lorenzo Martiinez Irizarry, MD
- Maria A Martinez Colon
- Heriberto Martinez Lebron
- Elba Nidia Martinez Santana, PHARMACIST
- Julianna Ynaiz Martinez-Toro, MS, PHD
- Rosa Martinez, MD
- Alberth Matos Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.