Isamarys Acevedo Gonzalez, LND
Individual provider Active NPI Nutrition Education Nutritionist · Hatillo, PR
NPI 1639627946 · NPPES record last updated Sep 15, 2016
Key facts
- NPI
- 1639627946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Education Nutritionist 133NN1002X
- License
- 1982 (PR)
- Practice address
- Carr 493 KM 0.5
Medical and Professional Office Plaza Suite 124
Hatillo, PR 00659 - Phone
- (787) 544-4777
- NPI assigned
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1982 | PR | MD | Periodontist |
Interoperability endpoints
- isamarys.acevedogonzalez.p1@direct.vitacare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1982 | PR | Yes |
Addresses
Primary practice location
Carr 493 KM 0.5
Medical and Professional Office Plaza Suite 124
Hatillo, PR 00659
Mailing address
HC 2 Box 4757
Sabana Hoyos, PR 00688-9535
Phone (787) 387-5655
Other providers in Hatillo, PR
- Nidal Abukhalil Rashid
- Dianora Carolina Acaba Rodriguez
- Jean Carlos Acevedo
- Wanda Acevedo
- Advance Respond Care Ambulance Inc
- Advancing Medical Clicic
- Aixa E Vega Rodriguez
All providers in Hatillo, PR · Nutrition Education Nutritionist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.