Nutrisector LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NUTRISECTOR LLC

Practice address

Carr 112 KM 1.4 Int
Ave Agustin Ramos Calero Hospital Cima Isabela
Isabela, PR 00662-0979

Phone

(787) 242-2193

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Aida Nancy Sisco, RDN, LND, DYSC,DEPNPI 1982082061

Title

Director

Phone

(787) 242-2193

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aida Nancy Sisco, RDN, LND, DYSC, DEPR

  • Registered Dietitian
  • Isabela, PR
  • NPI 1982082061
  Medicare reassignment NPD Authorized official
• Gabriela I Mercado Rojas, RDN,LND

  • Registered Dietitian
  • Utuado, PR
  • NPI 1962262782
  Medicare reassignment NPD
• Claribel Medina Montano

  • Counseling Psychologist
  • Aguada, PR
  • NPI 1912447764
  NPD

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1902303050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE ZIRCONIA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622378",
            "telephone_number": "787-242-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 112 KM 1.4 INT",
            "address_2": "AVE AGUSTIN RAMOS CALERO HOSPITAL CIMA ISABELA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620979",
            "telephone_number": "787-242-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRISECTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-242-2193",
        "authorized_official_credential": "RDN, LND, DYSC,DEP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Nieves, MD
• Nomc Corporation
• North Medical Transport
• Northwest Internal Medicine Services LLC
• Nova Health Puerto Rico LLC
• Victor Manuel Ocasio, M.D.
• Oceanside Medical Services Corp
• Oidp Therapy Group, LLC.
• Oniric Psychology Studio
• Optica Clear Vision LLC

• Clinic/Center in Isabela, PR
• Providers in Isabela, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.