Organization Active NPI

Buen Provecho Nutrition Services LLC

  • Nutritionist
  • San Juan, PR
National Provider Identifier
1912563545
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
BUEN PROVECHO NUTRITION SERVICES LLC
Practice address
1629 Ave. Ponce de Leon
Urb. Caribe
San Juan, PR 00926
Phone
(787) 579-1036
NPI assigned
May 20, 2019
Last updated
Dec 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Catherine Amarilys Pimentel Hernandez, MS RDN LNDNPI 1689112468
Title
Nutritionisr
Phone
(787) 579-1036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

1629 Ave. Ponce de Leon
Urb. Caribe
San Juan, PR 00926

Mailing address

PO Box 261869
San Juan, PR 00926
Phone (787) 579-1036

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1912563545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261869",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-579-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 AVE. PONCE DE LEON",
            "address_2": "URB. CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-579-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUEN PROVECHO NUTRITION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL HERNANDEZ",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "AMARILYS",
        "authorized_official_title_or_position": "NUTRITIONISR",
        "authorized_official_telephone_number": "787-579-1036",
        "authorized_official_credential": "MS RDN LND"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "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 Dec 6, 2021; 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.