Longevity Nutrition Services, LLC

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

LONGEVITY NUTRITION SERVICES, LLC

Practice address

13B Calle Baldorioty
Yauco, PR 00698-3654

Phone

(787) 235-7013

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Alexandra G Perez RodriguezNPI 1891458097

Title

President

Phone

(787) 235-7013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra G Perez Rodriguez, MHSN, LND

  • Nutritionist
  • Yauco, PR
  • NPI 1891458097
  Medicare reassignment NPD Authorized official
• Wanda I Almodovar, M. D.

  • Internal Medicine Physician
  • Yauco, PR
  • NPI 1093093635

  Single Specialty

  NPD

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1609642859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VEREDAS DE YAUCO CALLE RAMAL 307",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13B CALLE BALDORIOTY",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983654",
            "telephone_number": "787-235-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY NUTRITION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ RODRIGUEZ",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-235-7013"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Xiomara Llantin
• Llaurador & Ortiz Medical Corporation
• Alberto Llaurador Nieves
• Patricia Lluch, PHARMD
• LM Pharmaceutical Services, Inc.
• Carlos L Lopez Asencio, MD
• Lopez Pons Medical Services LLC
• Enid Lopez
• Samaris Lopez, MS SLP CCC
• Vionet Luciano, T.S.

• Nutritionist in Yauco, PR
• Providers in Yauco, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.

Verify at the official NPI Registry.