Organization Active NPI

Avivir LLC

  • Registered Dietitian
  • Gurabo, PR
National Provider Identifier
1497510788
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
AVIVIR LLC
Practice address
Carr189 KM7.8
Gurabo, PR 00778
Phone
(787) 937-4605
NPI assigned
Feb 16, 2024
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Miss Debora E Sosa Caraballo, LNDNPI 1417246117
Title
Nutritionist-Dietitians
Phone
(787) 605-1102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

Carr189 KM7.8
Gurabo, PR 00778

Mailing address

Hc4Box19756
Gurabo, PR 00778
Phone (787) 937-4605

Other names 1

  • AVIVIR LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724004705 PR Part B Supplier - Clinic/Group Practice 3577009646 Receives reassigned benefits from 1 practitioner
Practice locations: Gurabo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1497510788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC4BOX19756",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-937-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR189 KM7.8",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-937-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SOSA CARABALLO",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NUTRITIONIST-DIETITIANS",
        "authorized_official_telephone_number": "787-605-1102",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LND"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVIVIR LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.