Active NPI
Sachelly Julian-Serrano, MHSN, RD, LDN
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1619560760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2176
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2176 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Lab LLC | Dietitian, Registered | Current | 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.
-
dba The Nutrition Lab LLC
- Registered Dietitian
- San Juan, PR
- NPI 1073301339
Dietitian, Registered
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.