Individual provider Active NPI

Flor Del R Andreu Alicea, NUTRICIONIST

  • Nutrition Education Nutritionist
  • Coto Laurel, PR
National Provider Identifier
1649400607
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1103 Issued in PR
Practice address
26 Ceiba St.
Mansiones del Sur
Coto Laurel, PR 00780-2080
Phone
(787) 504-4047
NPI assigned
Jul 23, 2009
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X 1103 PR
Nutrition Education Nutritionist 133NN1002X 1103 PR Primary
Renal Nutrition Registered Dietitian 133VN1005X 1103 PR

Addresses

Primary practice location

26 Ceiba St.
Mansiones del Sur
Coto Laurel, PR 00780-2080

Mailing address

26 Ceiba St.
Mansiones del Sur
Coto Laurel, PR 00780-2080
Phone (787) 504-4047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315002964 PR Practitioner - Registered Dietitian Or Nutrition Professional 8729452628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1103PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital General de Castaner Inc. CurrentSince Nov 16, 2022 Accepting new patients
Hospital General de Castaner Inc CurrentSince Nov 16, 2022 Accepting new patients

Organizations & group practices 2

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1649400607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CEIBA ST.",
            "address_2": "MANSIONES DEL SUR",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802080",
            "telephone_number": "787-504-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CEIBA ST.",
            "address_2": "MANSIONES DEL SUR",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802080",
            "telephone_number": "787-504-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREU ALICEA",
        "first_name": "FLOR",
        "middle_name": "DEL R",
        "name_prefix": "Mrs.",
        "credential": "NUTRICIONIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "PR",
            "license": "1103",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1103",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "PR",
            "license": "1103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.