Individual provider Active NPI

Lizamar Sanjurjo, LND

  • Registered Dietitian
  • Canovanas, PR
National Provider Identifier
1831221092
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1424 Issued in PR
Practice address
Urbanizacion Villas de Loiza
Altos Farmacia Medina 2
Canovanas, PR 00729
Phone
(787) 955-3444
Fax
(787) 886-3254
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1424 PR Primary

Addresses

Primary practice location

Urbanizacion Villas de Loiza
Altos Farmacia Medina 2
Canovanas, PR 00729

Mailing address

Jardines de Rio Grande
C 51 BJ 675
Rio Grande, PR 00745-2632
Phone (787) 955-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1424PRMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831221092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES DE RIO GRANDE",
            "address_2": "C 51 BJ 675",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007452632",
            "telephone_number": "787-955-3444",
            "fax_number": "787-886-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION VILLAS DE LOIZA",
            "address_2": "ALTOS FARMACIA MEDINA 2",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-955-3444",
            "fax_number": "787-886-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANJURJO",
        "first_name": "LIZAMAR",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.