Loriann Davila-Santiago, RDN, LND, MPH

Key facts

NPI

1922585157

Entity type

Individual (NPI type 1)

Primary specialty

Nutrition Education Nutritionist 133NN1002X

License

1985 (PR)

Practice address

46 Calle Morse Esq Valentina
Arroyo, PR 00714-0450

Phone

(787) 839-4150

Fax

(787) 839-3989

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ic Nutrition LLC Registered Dietitian · Cayey, PR · NPI 1013727353
  NPD (past) DIETITIAN, REGISTERED

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2018.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1922585157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CALLE MORSE ESQ VALENTINA",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-839-4150",
            "fax_number": "787-839-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CALLE MORSE ESQ VALENTINA",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140450",
            "telephone_number": "787-839-4150",
            "fax_number": "787-839-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA-SANTIAGO",
        "first_name": "LORIANN",
        "credential": "RDN, LND, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "86082634",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo, PR

• Cooperativa de Terapeutas Asociados de Puerto Rico
• Karla Yadiz Cora Vazquez
• Graciela Marie Cordero Lebron, SPEECH THERAPIST
• Maristela Cruz Feliciano, PHARMD
• Irna Maysonet Cruz, M.D.
• Russell Davis, PHARMD
• Fermin L De Jesus, MD
• Adelina Diaz Laboy
• Lissette Diaz Olmeda, MD
• Belmarie Diaz Padro

All providers in Arroyo, PR · Nutrition Education Nutritionist in Puerto Rico