Active NPI
Alexandra Reyes Rivera, LND, RD
- Nutrition Education Nutritionist
- San Juan, PR
National Provider Identifier
1689832073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1250
- Practice address
- 105 Road 21 KM 0.8 Monacillo Ward
First Floor Forward Center
San Juan, PR 00927 - Phone
- (939) 237-4793
- NPI assigned
- Jun 2, 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1250 | PR | Primary |
Addresses
Primary practice location
105 Road 21 KM 0.8 Monacillo Ward
First Floor Forward Center
San Juan, PR 00927
Mailing address
105 Road 21 KM 0.8 Monacillo Ward
First Floor Forward Center
San Juan, PR 00927
Phone (939) 237-4793
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 |
|---|---|---|---|
| 1250 | PR | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerge PBC | Past | Accepting new patients | |
| Hospital Auxilio Mutuio | Past | 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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- San Juan, PR
- NPI 1205516366
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1285993550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1689832073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 ROAD 21 KM 0.8 MONACILLO WARD",
"address_2": "FIRST FLOOR FORWARD CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "939-237-4793",
"fax_number": "787-434-3793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 ROAD 21 KM 0.8 MONACILLO WARD",
"address_2": "FIRST FLOOR FORWARD CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00927",
"telephone_number": "939-237-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES RIVERA",
"first_name": "ALEXANDRA",
"name_prefix": "Mrs.",
"credential": "LND, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PR",
"license": "1250",
"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 Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.