Organization Active NPI

Lisbeth Nutricionista LLC

  • Nutritionist
  • Guaynabo, PR
National Provider Identifier
1508505413
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
LISBETH NUTRICIONISTA LLC
Practice address
2-6 Calle Munoz Rivera
Guaynabo, PR 00969
Phone
(787) 610-8067
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Lizbeth S Santiago Mercedes
Title
Nutricionista
Phone
(787) 610-8067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

2-6 Calle Munoz Rivera
Guaynabo, PR 00969

Mailing address

PO Box 8581
San Juan, PR 00910-0581
Phone (787) 610-8067

Other identifiers 1

IdentifierTypeStateIssuer
13549200018OtherPRREGISTRO COMERCIANTE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220727004400 PR Part B Supplier - Clinic/Group Practice 1052793783 Receives reassigned benefits from 1 practitioner
Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1508505413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8581",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100581",
            "telephone_number": "787-610-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-6 CALLE MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-610-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISBETH NUTRICIONISTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO MERCEDES",
        "authorized_official_first_name": "LIZBETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NUTRICIONISTA",
        "authorized_official_telephone_number": "787-610-8067"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO COMERCIANTE",
            "identifier": "13549200018",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.