Active NPI
Ilca Jeannete Cruz Santiago, LND
- Registered Dietitian
- Cayey, PR
National Provider Identifier
1740736412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1290
- Practice address
- A3 Ave Miguel Melendez Munoz
Cayey, PR 00736 - Phone
- (787) 903-8020
- NPI assigned
- Aug 31, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1290 | PR | Primary |
Addresses
Primary practice location
A3 Ave Miguel Melendez Munoz
Cayey, PR 00736
Mailing address
B13 Calle 22
Mirador Universitario
Cayey, PR 00736
Phone (787) 616-9858
Other practice location 1
B13 Calle 22
Mirador Universitario
Cayey, PR 00736-5077
Phone (787) 616-9858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1290 | PR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ic Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Oleira, LLC | Dietitian, Registered | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1740736412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B13 CALLE 22",
"address_2": "MIRADOR UNIVERSITARIO",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-616-9858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A3 AVE MIGUEL MELENDEZ MUNOZ",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-903-8020"
}
],
"practiceLocations": [
{
"address_1": "B13 Calle 22",
"address_2": "Mirador Universitario",
"address_purpose": "LOCATION",
"city": "Cayey",
"state": "PR",
"postal_code": "007365077",
"country_code": "US",
"telephone_number": "787-616-9858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ SANTIAGO",
"first_name": "ILCA",
"middle_name": "JEANNETE",
"name_prefix": "Mrs.",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2025-01-10",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.