Active NPI
Elba Lopez Perez
- Registered Dietitian
- Guaynabo, PR
National Provider Identifier
1598897241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 867
- Practice address
- Urb Colinas Metropolitanas
V4 Calle Monte del Estado
Guaynabo, PR 00969 - Phone
- (787) 474-7346
- NPI assigned
- Mar 9, 2007
- Last updated
- Jan 21, 2012
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 867 | PR | Primary |
Addresses
Primary practice location
Urb Colinas Metropolitanas
V4 Calle Monte del Estado
Guaynabo, PR 00969
Mailing address
Urb Colinas Metropolitanas
V4 Calle Monte del Estado
Guaynabo, PR 00969
Phone (787) 474-7346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120501000077 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 7113189564 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 867 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SPM Doctors Services Group PSC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Family Medicine) Physician
- Bayamon, PR
- NPI 1538318639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1598897241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB COLINAS METROPOLITANAS",
"address_2": "V4 CALLE MONTE DEL ESTADO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-474-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB COLINAS METROPOLITANAS",
"address_2": "V4 CALLE MONTE DEL ESTADO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-474-7346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ PEREZ",
"first_name": "ELBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.