Active NPI
Yaima Gonzalez-Matos, RD, LND
- Registered Dietitian
- Toa Alta, PR
National Provider Identifier
1861855835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1904
- Practice address
- Carr 165 KM 4.5
Bo Quebrada Cruz
Toa Alta, PR 00953 - Phone
- (787) 545-8808
- NPI assigned
- Mar 29, 2016
- Last updated
- Mar 29, 2016
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1904 | PR | Primary |
Addresses
Primary practice location
Carr 165 KM 4.5
Bo Quebrada Cruz
Toa Alta, PR 00953
Mailing address
487 Calle Lirio
Urbanizacion Manciones de Rio Piedras
San Juan, PR 00926
Phone (787) 545-8808
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1861855835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 CALLE LIRIO",
"address_2": "URBANIZACION MANCIONES DE RIO PIEDRAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-545-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 165 KM 4.5",
"address_2": "BO QUEBRADA CRUZ",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-545-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-MATOS",
"first_name": "YAIMA",
"credential": "RD, LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.