Individual provider Active NPI

Carmen Moreno, L.N.D, D.E., C.E.C.D

  • Nutrition Education Nutritionist
  • Caguas, PR
National Provider Identifier
1578896403
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
000504 Issued in PR
Practice address
Urb. Villa Carmen K-14, Calle Aguadilla Local# 5
Caguas, PR 00725-4302
Phone
(787) 744-7112
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 000504 PR Primary

Addresses

Primary practice location

Urb. Villa Carmen K-14, Calle Aguadilla Local# 5
Caguas, PR 00725-4302

Mailing address

21212 Rancho Las Vegas 1 Bo. Guavate
Cayey, PR 00736-9409
Phone (787) 310-5232

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
000504PRMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina de Familia de Cayey PastSince Jul 6, 1990 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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1578896403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21212 RANCHO LAS VEGAS 1 BO. GUAVATE",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369409",
            "telephone_number": "787-310-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLA CARMEN K-14, CALLE AGUADILLA LOCAL# 5",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007254302",
            "telephone_number": "787-744-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "CARMEN",
        "name_prefix": "Mrs.",
        "credential": "L.N.D, D.E., C.E.C.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "000504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.