Nutricare Enteral Alimentation, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

NUTRICARE ENTERAL ALIMENTATION, INC.

Doing business as

Nutri Care & Home Medical Supply

Practice address

26 Calle de Diego W
Condo. Cesani, Suite105
Mayaguez, PR 00680-4701

Phone

(787) 834-4046

Fax

(787) 806-1730

NPI assigned

Aug 16, 2005

Last updated

Dec 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edson Rodriguez

Title

President

Phone

(787) 834-4046

Specialties & licenses 1

Addresses

Other names 1

• Nutri Care & Home Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1477545440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EJ4 CALLE H",
            "address_2": "URB. SAN ANTONIO",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102317",
            "telephone_number": "787-637-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE DE DIEGO W",
            "address_2": "CONDO. CESANI, SUITE105",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804701",
            "telephone_number": "787-834-4046",
            "fax_number": "787-806-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRICARE ENTERAL ALIMENTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-834-4046",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutri Care & Home Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose A Nieves-Torres Sr., MD
• Priscila Elizabeth Nieves, MSW
• Yolanda Nieves, O.D.
• Nozomi Incorporado (Centro Nozomi)
• Genesis Maria Nunez
• O & M Enterprises Inc (Laboratorio Clinico Ramos)
• Jorge Enrique Oben Martinez, M.D.
• Yolanda Ocasio Marin, ADMINISTRATOR
• Iris N. Ocasio, CSW
• Abiodun Abayomi Odeleye, M.D.

• Parenteral & Enteral Nutrition Supplies (DME) in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.