Active NPI
Rickly Jose Torres, RDN
- Registered Dietitian
- Dorado, PR
National Provider Identifier
1639837065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- A6 Calle Ceiba Urb. Quintas de Dorado
Dorado, PR 00646 - Phone
- (787) 903-1703
- NPI assigned
- Dec 2, 2021
- Last updated
- Dec 2, 2021
- Sex
- Male
- 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 | PR | Primary |
Addresses
Primary practice location
A6 Calle Ceiba Urb. Quintas de Dorado
Dorado, PR 00646
Mailing address
A6 Calle Ceiba Urb. Quintas de Dorado
Dorado, PR 00646
Phone (787) 903-1703
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 |
|---|---|---|---|
| 2196 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dietetiko LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
1845 Carr 2
Ste 502
Bayamon, PR 00959
Phone (787) 798-3194
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": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1639837065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A6 CALLE CEIBA URB. QUINTAS DE DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-903-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A6 CALLE CEIBA URB. QUINTAS DE DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-903-1703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "RICKLY",
"middle_name": "JOSE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.