Individual provider Active NPI

Alexandra Reyes Rivera, LND, RD

  • Nutrition Education Nutritionist
  • San Juan, PR
National Provider Identifier
1689832073
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1250 Issued in PR
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

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1250PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge PBC PastSince Dec 21, 2025 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.

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.

Verify at the official NPI Registry.