Active NPI
Nitza Enid Perez, LND
- Nutrition Education Nutritionist
- San Juan, PR
National Provider Identifier
1831372572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1001
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001 | Other | PR | LND |
Other names 1
- Mrs. Nitza Enid Perez
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
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1285993550
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.