Active NPI
Glorielle Gonzalez Reyes, RDN, LND
- Registered Dietitian
- Dorado, PR
National Provider Identifier
1689088163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1668
- Practice address
- Carr 695 KM 2.0 Doraville Bo Higuillar
Dorado, PR 00646 - Phone
- (787) 464-6438
- NPI assigned
- Jun 12, 2014
- 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 | 1668 | PR | Primary |
Addresses
Primary practice location
Carr 695 KM 2.0 Doraville Bo Higuillar
Dorado, PR 00646
Mailing address
Urbanizacion Las Cascadas 2 Calle Miosotis 104
Toa Alta, PR 00953
Phone (787) 464-6438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1668 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1689088163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION LAS CASCADAS 2 CALLE MIOSOTIS 104",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-464-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 695 KM 2.0 DORAVILLE BO HIGUILLAR",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-464-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ REYES",
"first_name": "GLORIELLE",
"credential": "RDN, LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1668",
"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 May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.