Active NPI
Michelle Z Torres Toledo, LCDA.
- Nutritionist
- Arecibo, PR
National Provider Identifier
1912549692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2094
- Practice address
- Carrt 2 K 65 H 6 Bo Factor
Arecibo, PR 00612 - Phone
- (787) 327-5787
- NPI assigned
- Oct 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 002094 | PR | |
| Nutritionist | 133N00000X | 2094 | PR | Primary |
Addresses
Primary practice location
Carrt 2 K 65 H 6 Bo Factor
Arecibo, PR 00612
Mailing address
HC 2 Box 5467
Bajadero, PR 00616-9799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200326000220 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 6204265291 | Practice locations: Arecibo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
KM 66
Suite 2
Arecibo, PR 00612
Phone (787) 327-5787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2094 | PR | MD | Nutritionist |
| 002094 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1912549692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 5467",
"city": "BAJADERO",
"state": "PR",
"postal_code": "006169799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRT 2 K 65 H 6 BO FACTOR",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-327-5787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES TOLEDO",
"first_name": "MICHELLE",
"middle_name": "Z",
"credential": "LCDA.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2023-07-10",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "002094",
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "2094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.