Joselyn M Perez, LND

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

1460 Issued in PR

Practice address

Calle Jazmin # 28
Los Paisajes En Ciudad Jardin
Gurabo, PR 00778-0000

Phone

(787) 602-3610

NPI assigned

Feb 8, 2009

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Nutrivida LLC

  • Oncology Nutrition Registered Dietitian
  • Caguas, PR
  • NPI 1225783012
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1234051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1467691972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780083",
            "telephone_number": "787-602-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JAZMIN # 28",
            "address_2": "LOS PAISAJES EN CIUDAD JARDIN",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780000",
            "telephone_number": "787-602-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSELYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-08",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Professionals, CSP
• Andrea Paola Pereira Rodriguez, MD
• Yashira Marie Perez Agosto, AUXILIAR DE FARMACIA
• Gabriel Hiram Perez Rivera, BSN-RN
• Marcos A. Perez-Martinez, REGISTERED NURSE
• Lillian Perez
• Nydia L. Perez, MD
• Susmary Perez
• Pharmacare Inc.
• Pharmacare, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.