Individual provider Active NPI

Maricely Nieves Velez, LND

  • Nutritionist
  • Hatillo, PR
National Provider Identifier
1548727654
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2033 Issued in PR
Practice address
116 Ave Dr Susoni
Hatillo, PR 00659-1847
Phone
(787) 898-4190
Fax
(787) 262-3984
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X 2033 PR Primary

Addresses

Primary practice location

116 Ave Dr Susoni
Hatillo, PR 00659-1847

Mailing address

89 Calle Pedro Hernandez
Quebradillas, PR 00678-1915
Phone (787) 364-0741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220630002884 PR Practitioner - Registered Dietitian Or Nutrition Professional 6305226770 Practice locations: Camuy, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1548727654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CALLE PEDRO HERNANDEZ",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781915",
            "telephone_number": "787-364-0741",
            "fax_number": "787-262-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 AVE DR SUSONI",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591847",
            "telephone_number": "787-898-4190",
            "fax_number": "787-262-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES VELEZ",
        "first_name": "MARICELY",
        "name_prefix": "Miss",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.