Individual provider Active NPI

Waleska Vargas Perez, LND

  • Nutrition Education Nutritionist
  • Camuy, PR
National Provider Identifier
1861727216
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1331 Issued in PR
Practice address
Carr. #2 KM93.2 Int119
Bo. Membrillo
Camuy, PR 00627-9724
Phone
(787) 397-9576
NPI assigned
Oct 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1331 PR
Nutrition Education Nutritionist 133NN1002X 1331 PR Primary

Addresses

Primary practice location

Carr. #2 KM93.2 Int119
Bo. Membrillo
Camuy, PR 00627-9724

Mailing address

Box 12881
HC-03
Camuy, PR 00627-9724
Phone (787) 397-9576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000767 PR Practitioner - Registered Dietitian Or Nutrition Professional 4385772375 Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1331PRMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1861727216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 12881",
            "address_2": "HC-03",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279724",
            "telephone_number": "787-397-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2 KM93.2 INT119",
            "address_2": "BO. MEMBRILLO",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279724",
            "telephone_number": "787-397-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS PEREZ",
        "first_name": "WALESKA",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1331",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.