Active NPI
Maribeth Reyes
- Nutritionist
- Carolina, PR
National Provider Identifier
1730292533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1160
- Practice address
- Calle Domingo Caceres #53
Carolina, PR 00628 - Phone
- (939) 639-4188
- NPI assigned
- Aug 16, 2006
- 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 | 1160 | Primary |
Addresses
Primary practice location
Calle Domingo Caceres #53
Carolina, PR 00628
Mailing address
Calle Palmer 67 .
Canovanas, PR 00729
Phone (939) 639-4188
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 |
|---|---|---|---|
| 1160 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730292533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE PALMER 67 .",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "939-639-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE DOMINGO CACERES #53",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00628",
"telephone_number": "939-639-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MARIBETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": "1160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.