Individual provider Active NPI

Doan Lopez Ortiz, LCDA.

  • Nutritionist
  • Guaynabo, PR
National Provider Identifier
1801256276
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1623 Issued in PR
Practice address
2 Calle Munoz Rivera
Guaynabo, PR 00969-5706
Phone
(787) 205-1607
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
Yes

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Luis Munoz Rivera
Suite 2
Guaynabo, PR 00969
Phone (787) 205-1607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20171120003771 PR Practitioner - Registered Dietitian Or Nutrition Professional 4688931041 Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1623PRMDNutritionist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1623 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Calle Munoz Rivera
Guaynabo, PR 00969-5706

Mailing address

1727 Ave Jesus T Pinero
San Juan, PR 00920-5408
Phone (787) 662-9148

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2024.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1801256276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 AVE JESUS T PINERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205408",
            "telephone_number": "787-662-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695706",
            "telephone_number": "787-205-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ ORTIZ",
        "first_name": "DOAN",
        "credential": "LCDA.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.