Individual provider Active NPI

Javier Giraldo, RDN, LDN

  • Registered Dietitian
  • Pembroke Pines, FL
National Provider Identifier
1437801792
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10563284 Issued in FL
Practice address
16354 SW 15TH St
Pembroke Pines, FL 33027-5126
Phone
(832) 647-2280
NPI assigned
Jan 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 10563284 FL Primary

Addresses

Primary practice location

16354 SW 15TH St
Pembroke Pines, FL 33027-5126

Mailing address

16354 SW 15TH St
Pembroke Pines, FL 33027-5126
Phone (832) 647-2280

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10563284FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1437801792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16354 SW 15TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330275126",
            "telephone_number": "832-647-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16354 SW 15TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330275126",
            "telephone_number": "832-647-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRALDO",
        "first_name": "JAVIER",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "10563284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.