Individual provider Active NPI

Karla Miranda Lopez, RDN

  • Registered Dietitian
  • Guaynabo, PR
National Provider Identifier
1912400821
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2049 Issued in PR
Practice address
140 Ave Las Cumbres Ste 106
Guaynabo, PR 00969-5525
Phone
(787) 710-2532
NPI assigned
Mar 16, 2018
Last updated
Mar 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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 2049 PR Primary

Addresses

Primary practice location

140 Ave Las Cumbres Ste 106
Guaynabo, PR 00969-5525

Mailing address

Urb Santa Elvira
D16 Calle Santa Clara
Caguas, PR 00725
Phone (939) 244-1559

Other identifiers 1

IdentifierTypeStateIssuer
71748OtherPRPR BOARD OF NUTRITIONIST

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2049PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1912400821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SANTA ELVIRA",
            "address_2": "D16 CALLE SANTA CLARA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-244-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES STE 106",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695525",
            "telephone_number": "787-710-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA LOPEZ",
        "first_name": "KARLA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR BOARD OF NUTRITIONIST",
            "identifier": "71748",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.