Active NPI
Madeline Rivera, LND
- Nutritionist
- Trujillo Alto, PR
National Provider Identifier
1710289137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1542
- Practice address
- 145 Bosque del Rio
Apto U-201
Trujillo Alto, PR 00976-3156 - Phone
- (787) 344-5224
- NPI assigned
- Nov 18, 2010
- 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 | 1542 | PR | Primary |
Addresses
Primary practice location
145 Bosque del Rio
Apto U-201
Trujillo Alto, PR 00976-3156
Mailing address
145 Bosque del Rio
Apto U-201
Trujillo Alto, PR 00976-3156
Phone (787) 344-5224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1542 | Other | PR | DIETITIAN LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1710289137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 BOSQUE DEL RIO",
"address_2": "APTO U-201",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009763156",
"telephone_number": "787-344-5224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 BOSQUE DEL RIO",
"address_2": "APTO U-201",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009763156",
"telephone_number": "787-344-5224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MADELINE",
"name_prefix": "Ms.",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-18",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN LICENSE",
"identifier": "1542",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Trujillo Alto, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.