Active NPI
Ivelisse Alverio Santana, LND
- Dietary Manager
- Toa Baja, PR
National Provider Identifier
1891933511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- License
- 1472
- Practice address
- HF16 Calle Lizzie Graham
Toa Baja, PR 00949-3634 - Phone
- (787) 309-6283
- NPI assigned
- Feb 3, 2009
- 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 |
|---|---|---|---|---|
| Dietary Manager | 132700000X | 1472 | PR | Primary |
Addresses
Primary practice location
HF16 Calle Lizzie Graham
Toa Baja, PR 00949-3634
Mailing address
PO Box 56144
Bayamon, PR 00960-6144
Phone (787) 309-6283
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": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1891933511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 56144",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009606144",
"telephone_number": "787-309-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HF16 CALLE LIZZIE GRAHAM",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009493634",
"telephone_number": "787-309-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVERIO SANTANA",
"first_name": "IVELISSE",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "PR",
"license": "1472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.