Active NPI
Abneris Diaz Morales, LND
- Nutritionist
- San Juan, PR
National Provider Identifier
1689104978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1364
- Practice address
- 923 Ave Campo Rico
Country Club
San Juan, PR 00924 - Phone
- (787) 946-5411
- Fax
- (787) 986-7525
- NPI assigned
- Jun 19, 2017
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1364 | PR | Primary |
Addresses
Primary practice location
923 Ave Campo Rico
Country Club
San Juan, PR 00924
Mailing address
30 Calle Jose Celso Barbosa
Barrio Amelia
Guaynabo, PR 00965
Phone (787) 946-5411
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1364 | PR | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1689104978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CALLE JOSE CELSO BARBOSA",
"address_2": "BARRIO AMELIA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00965",
"telephone_number": "787-946-5411",
"fax_number": "787-986-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 AVE CAMPO RICO",
"address_2": "COUNTRY CLUB",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924",
"telephone_number": "787-946-5411",
"fax_number": "787-986-7525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ MORALES",
"first_name": "ABNERIS",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "PR",
"license": "1364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.