Norimar Caraballo, LND
Individual provider Active NPI Registered Dietitian · Juana Diaz, PR
NPI 1821318015 · NPPES record last updated Jan 20, 2021
Key facts
- NPI
- 1821318015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1575 (PR)
- Practice address
- Paseo de Reyes 33
Calle Rey Felipe
Juana Diaz, PR 00794 - Phone
- (787) 236-0594
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210211000953 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 8426463191 | Practice locations: Juana Diaz, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1575 | PR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1575 | PR | Yes |
Addresses
Primary practice location
Paseo de Reyes 33
Calle Rey Felipe
Juana Diaz, PR 00794
Mailing address
Paseo de Reyes 33
Calle Rey Felipe
Juana Diaz, PR 00795
Phone (787) 236-0594
Other providers in Juana Diaz, PR
- By Kary la Nutri LLC
- C. Rabel, Inc.
- Marilyn Cabrera Rios
- Carmen Leonor Campos Santiago
- Suzette Candelario
- Carlos R Vergne LLC
- Ilia E Castanon
- Janira Castillo Playa
- Marcial Castillo
- Miriam Ivette Centeno Rivera
All providers in Juana Diaz, PR · Registered Dietitian in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.