Individual provider Active NPI

Zuania Y Clemente, DIETITIAN

  • Nutritionist
  • San Juan, PR
National Provider Identifier
1508293812
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1632 Issued in PR
Practice address
715 Ave Ponce de Leon
Nutrition Department
San Juan, PR 00917-5032
Phone
(787) 758-2000
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1632 PR Primary

Addresses

Primary practice location

715 Ave Ponce de Leon
Nutrition Department
San Juan, PR 00917-5032

Mailing address

1100 Calle Carmen Buzello
Country Club Second Extension
San Juan, PR 00924-2429
Phone (787) 646-4032

Other identifiers 1

IdentifierTypeStateIssuer
1632OtherPRDIETITIAN'S LICENSE

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
1632PRMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1508293812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CALLE CARMEN BUZELLO",
            "address_2": "COUNTRY CLUB SECOND EXTENSION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242429",
            "telephone_number": "787-646-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON",
            "address_2": "NUTRITION DEPARTMENT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175032",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTE",
        "first_name": "ZUANIA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETITIAN'S LICENSE",
            "identifier": "1632",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.