Active NPI
Maricely Nieves Velez, LND
- Nutritionist
- Hatillo, PR
National Provider Identifier
1548727654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2033
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Community/Retail Pharmacy
- Hatillo, PR
- NPI 1659406015
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.