Individual provider Active NPI

Desiree Quinones Vega, RDN, LND

  • Nutritionist
  • Mayaguez, PR
National Provider Identifier
1447756697
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2053 Issued in PR
Practice address
PR 2 KM 156.5
Office Park IV Suite 201
Mayaguez, PR 00960
Phone
(787) 710-2532
NPI assigned
Apr 4, 2018
Last updated
Jul 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NU
Nutritionist 133N00000X 2053 PR Primary
Registered Dietitian 133V00000X 2053 PR

Addresses

Primary practice location

PR 2 KM 156.5
Office Park IV Suite 201
Mayaguez, PR 00960

Mailing address

452 Ave Hostos
San Juan, PR 00918-3015
Phone (787) 326-2303

Other practice location 1

452 Ave Hostos
San Juan, PR 00918-3015
Phone (787) 326-2303

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

LicenseStateTypeSpecialty
2053PRMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1447756697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183015",
            "telephone_number": "787-326-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 2 KM 156.5",
            "address_2": "OFFICE PARK IV SUITE 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-710-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Ave Hostos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183015",
            "country_code": "US",
            "telephone_number": "787-326-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES VEGA",
        "first_name": "DESIREE",
        "credential": "RDN, LND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2053",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.