Individual provider Active NPI

Ana Pacheco-Lozada, LND

  • Registered Dietitian
  • San Juan, PR
National Provider Identifier
1881625275
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1132 Issued in PR
Practice address
Edif. Decanato de Estudiantes, Centro Medico de PR
Primer Piso
San Juan, PR 00936-8344
Phone
(787) 773-8283
Fax
(787) 773-8303
NPI assigned
Jul 5, 2006
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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 1132 PR Primary

Addresses

Primary practice location

Edif. Decanato de Estudiantes, Centro Medico de PR
Primer Piso
San Juan, PR 00936-8344

Mailing address

PMB #87 PO Box 70344
San Juan, PR 00936-8344
Phone (787) 421-0306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628000805 PR Practitioner - Registered Dietitian Or Nutrition Professional 3577475011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1132PRMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1881625275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB #87 PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-421-0306",
            "fax_number": "787-773-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF. DECANATO DE ESTUDIANTES, CENTRO MEDICO DE PR",
            "address_2": "PRIMER PISO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-773-8283",
            "fax_number": "787-773-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO-LOZADA",
        "first_name": "ANA",
        "name_prefix": "Ms.",
        "credential": "LND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 3, 2013; 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.