Individual provider Active NPI

Anizeida Laboy

  • Nutritionist
  • Bayamon, PR
National Provider Identifier
1811364482
Registry record updated Aug 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1936 Issued in PR
Practice address
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 780-9196
NPI assigned
Aug 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1936 PR Primary

Addresses

Primary practice location

B7 Calle Santa Cruz
Bayamon, PR 00961-6902

Mailing address

B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 780-9196

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616000803 PR Practitioner - Registered Dietitian Or Nutrition Professional 8224329511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corredor Azul Integral LLCGroup PAC ID 0749700888, 5 clinicians

Practice addresses (Care Compare)

River Town Plaza Local B
50 Ave. Los Filtros Bo Juan Sanchez
Bayamon, PR 00959-0095
Phone (787) 378-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1936PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Corredor Azul Integral LLC CurrentSince May 12, 2025 Accepting new patients
Healthy Care Group, L.L.C Current Accepting new patients

Locations

50 Ave Los Filtros
Bayamon, PR 00959
Phone (787) 378-9001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440892800000",
    "number": "1811364482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B7 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOY",
        "first_name": "ANIZEIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2015-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2015; 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.