Carla Fabian Gonzalez, LND, MHSCN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1856 Issued in PR

Practice address

1777 Carr 844
San Juan, PR 00926-4434

Phone

(787) 748-9955

NPI assigned

Jan 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1568852341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CARR 844 APT 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267824",
            "telephone_number": "787-224-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 CARR 844",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264434",
            "telephone_number": "787-748-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN GONZALEZ",
        "first_name": "CARLA",
        "credential": "LND, MHSCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Dr Care Center
• Eyeglasses on Wheels
• Eyeglasses Shop
• Eyesforyou
• Christine Marie Fabelo Huyke, M.D.
• Rafael M Fabian, DC
• Carla Marie Fabre Ruiz, MD
• Andrea Nicole Fabregas Roman
• Ana Fachado
• Facultad Medica Hospital Municipal San Juan

• Nutritionist in San Juan, PR
• Providers in San Juan, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.