Individual provider Active NPI

Marta B Viera-Viera

  • Nutritionist
  • Toa Alta, PR
National Provider Identifier
1588052211
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
614 Issued in PR
Practice address
102 Calle Azalea
Ciudad Jardin1
Toa Alta, PR 00953-4846
Phone
(787) 318-6347
NPI assigned
Jan 5, 2015
Last updated
Jan 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 614 PR Primary

Addresses

Primary practice location

102 Calle Azalea
Ciudad Jardin1
Toa Alta, PR 00953-4846

Mailing address

102 Calle Azalea
Ciudad Jardin1
Toa Alta, PR 00953-4846
Phone (787) 318-6347

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
614PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1588052211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CALLE AZALEA",
            "address_2": "CIUDAD JARDIN1",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534846",
            "telephone_number": "787-318-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CALLE AZALEA",
            "address_2": "CIUDAD JARDIN1",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534846",
            "telephone_number": "787-318-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA-VIERA",
        "first_name": "MARTA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.