Active NPI
Soed Figueroa
- Nutritionist
- Ponce, PR
National Provider Identifier
1689832503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 001368
- Practice address
- 375 Calle Victoria
Ponce, PR 00730-3473 - Phone
- (787) 843-7759
- Fax
- (787) 843-7759
- NPI assigned
- May 28, 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 001368 | PR | Primary |
Addresses
Primary practice location
375 Calle Victoria
Ponce, PR 00730-3473
Mailing address
PO Box 7105
PMB 439
Ponce, PR 00732-7105
Phone (787) 843-7759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140603000852 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 7719100130 | Practice locations: Ponce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2706 Blvd Luis a Ferre
Ponce, PR 00717-0341
Phone (787) 806-5518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001368 | PR | MD | Nutritionist |
| 1368 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1689832503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7105",
"address_2": "PMB 439",
"city": "PONCE",
"state": "PR",
"postal_code": "007327105",
"telephone_number": "787-843-7759",
"fax_number": "787-843-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 CALLE VICTORIA",
"city": "PONCE",
"state": "PR",
"postal_code": "007303473",
"telephone_number": "787-843-7759",
"fax_number": "787-843-7759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIGUEROA",
"first_name": "SOED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "001368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.