Active NPI
Alexandra Marie Vazquez Berrios, LND
- Nutritionist
- Caguas, PR
National Provider Identifier
1487430237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2189
- Practice address
- 100 Ave Luis Munoz Marin
Caguas, PR 00725-6184 - Phone
- (787) 653-3108
- NPI assigned
- Sep 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2189 | PR | Primary |
Addresses
Primary practice location
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Mailing address
Calle Santa Maria G17
Santa Elvira
Caguas, PR 00725
Phone (787) 586-1820
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2189 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1487430237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE SANTA MARIA G17",
"address_2": "SANTA ELVIRA",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-586-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AVE LUIS MUNOZ MARIN",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007256184",
"telephone_number": "787-653-3108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ BERRIOS",
"first_name": "ALEXANDRA",
"middle_name": "MARIE",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "PR",
"license": "2189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.