Individual provider Active NPI

Nitza Enid Perez, LND

  • Nutrition Education Nutritionist
  • San Juan, PR
National Provider Identifier
1831372572
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1001 Issued in PR
Practice address
1715 Ave Ponce de Leon
Nutrition Dept.
San Juan, PR 00909-1958
Phone
(787) 758-2000
Fax
(787) 771-7951
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 1001 PR Primary

Addresses

Primary practice location

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

Mailing address

60024 Calle Bucare
Urb Bosque Dorado
Dorado, PR 00646-9671
Phone (787) 638-4445

Other identifiers 1

IdentifierTypeStateIssuer
1001OtherPRLND

Other names 1

  • Mrs. Nitza Enid Perez Former name

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Auxilio Mutuio Past Accepting new patients

Organizations & group practices 1

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": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1831372572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60024 CALLE BUCARE",
            "address_2": "URB BOSQUE DORADO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469671",
            "telephone_number": "787-638-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 AVE PONCE DE LEON",
            "address_2": "NUTRITION DEPT.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091958",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NITZA",
        "middle_name": "ENID",
        "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": "1001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LND",
            "identifier": "1001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITZA",
            "last_name": "PEREZ",
            "middle_name": "ENID",
            "prefix": "MRS.",
            "credential": "LND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • 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.