Active NPI
Yanil M Rodriguez, LND
- Nutritionist
- San Juan, PR
National Provider Identifier
1699189480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1606
- Practice address
- 1790 Julio Aybar Street, Santiago Iglesias
San Juan, PR 00921 - Phone
- (787) 424-5128
- Fax
- (787) 200-4415
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 1606 | PR | Primary |
Addresses
Primary practice location
1790 Julio Aybar Street, Santiago Iglesias
San Juan, PR 00921
Mailing address
PO Box 1777
Guaynabo, PR 00970-1777
Phone (787) 424-5128
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 |
|---|---|---|---|
| 1606 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1699189480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1777",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009701777",
"telephone_number": "787-424-5128",
"fax_number": "787-200-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 JULIO AYBAR STREET, SANTIAGO IGLESIAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-424-5128",
"fax_number": "787-200-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "YANIL",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1606",
"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, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.