Alba Iris Carbonell, LND

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

1235 Issued in PR

Practice address

1715 Ave Ponce de Leon
Nutrition Department
San Juan, PR 00909-1958

Phone

(787) 758-2000

Fax

(787) 771-7951

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Alba Iris Carbonell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hospital Auxilio Mutuio

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1285993550
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1750564498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CALLE PEDRO ARZUAGA E",
            "address_2": "VILLAS DEL CENTRO APT. # 52",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009856167",
            "telephone_number": "787-550-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 AVE PONCE DE LEON",
            "address_2": "NUTRITION DEPARTMENT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091958",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELL",
        "first_name": "ALBA",
        "middle_name": "IRIS",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LND",
            "identifier": "1235",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLE",
            "identifier": "1235",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBA",
            "last_name": "CARBONELL",
            "middle_name": "IRIS",
            "prefix": "MRS.",
            "credential": "LND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Khamaly Marie Carattini
• Francisco Carballo-Collazo, MD
• Lourdes Carballo-Rivera, M.D.
• Cesar Manuel Carballo, M.D.
• Gabriela Nichole Carbonell Ramirez
• Miguel Alexis Carbonell, DC
• Milena Carcache
• Marta Carcana, R.N.
• Elsa Cardalda, PHD
• Natalia Cardenas Suarez

• Nutrition Education Nutritionist in San Juan, PR
• Providers in San Juan, PR by specialty
• Nutrition Education Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.