Active NPI
Ismarie Morales, LND
- Registered Dietitian
- Carolina, PR
National Provider Identifier
1679740591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1456
- Practice address
- Ave. Ciudad Jardin Calle Lirio 200
Lirio
Carolina, PR 00987-2213 - Phone
- (787) 217-7589
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 1456 | PR | Primary |
Addresses
Primary practice location
Ave. Ciudad Jardin Calle Lirio 200
Lirio
Carolina, PR 00987-2213
Mailing address
84 Via Roma
Urb. L' Antigua
Trujillo Alto, PR 00976-6105
Phone (787) 217-7589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100513000565 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 7517095474 | Practice locations: Trujillo Alto, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1679740591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 VIA ROMA",
"address_2": "URB. L' ANTIGUA",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009766105",
"telephone_number": "787-217-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. CIUDAD JARDIN CALLE LIRIO 200",
"address_2": "LIRIO",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009872213",
"telephone_number": "787-217-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "ISMARIE",
"name_prefix": "Ms.",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2024-08-05",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.