Individual provider Active NPI

Joangelys Gutierrez Fernandez, LND

  • Nutritionist
  • Cayey, PR
National Provider Identifier
1649946971
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2168 Issued in PR
Practice address
Urb. San Cristobal Calle Cristobal Cruet
Casa #266
Cayey, PR 00736
Phone
(787) 363-5169
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 2168 PR Primary

Addresses

Primary practice location

Urb. San Cristobal Calle Cristobal Cruet
Casa #266
Cayey, PR 00736

Mailing address

Urb. San Cristobal Calle Cristobal Cruet
Casa #266
Cayey, PR 00736
Phone (787) 363-5169

Other identifiers 1

IdentifierTypeStateIssuer
2168MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ADIME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201001147 PR Practitioner - Registered Dietitian Or Nutrition Professional 8729471404 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Jan 1, 2022 Accepting new patients
Hospital Menonita de Cayey Current Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital Inc CurrentSince Jan 1, 2022 Accepting new patients
Hospital Menonita de Cayey CurrentSince Apr 1, 2024 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1649946971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SAN CRISTOBAL CALLE CRISTOBAL CRUET",
            "address_2": "CASA #266",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-363-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SAN CRISTOBAL CALLE CRISTOBAL CRUET",
            "address_2": "CASA #266",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-363-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ FERNANDEZ",
        "first_name": "JOANGELYS",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2168",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADIME",
            "affiliation": "N",
            "address_1": "Urb. San Cristobal Calle Cristobal Cruet",
            "address_2": "Casa #266",
            "city": "Cayey",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.