Individual provider Active NPI

Sachelly Julian-Serrano, MHSN, RD, LDN

  • Registered Dietitian
  • San Juan, PR
National Provider Identifier
1619560760
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2176 Issued in PR
Practice address
1507 Ave Ponce de Leon
Suite 101
San Juan, PR 00909
Phone
(787) 461-6452
NPI assigned
Feb 18, 2021
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2176 PR Primary

Addresses

Primary practice location

1507 Ave Ponce de Leon
Suite 101
San Juan, PR 00909

Mailing address

1250 Av. Juan Ponce de Leon
Suite 301 PMB 2038
San Juan, PR 00907
Phone (787) 461-6452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718000784 PR Practitioner - Registered Dietitian Or Nutrition Professional 2769998640 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2176PRMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Lab LLC Dietitian, Registered CurrentSince Aug 20, 2025 Accepting new patients

Locations

1250 Ave Ponce de Leon
Ste 301
San Juan, PR 00907

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1619560760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 AV. JUAN PONCE DE LEON",
            "address_2": "SUITE 301 PMB 2038",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-461-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 AVE PONCE DE LEON",
            "address_2": "SUITE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-461-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN-SERRANO",
        "first_name": "SACHELLY",
        "credential": "MHSN, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.