Active NPI
Evelyn Ivette Santiago, DIETITIAN
- Registered Dietitian
- Caguas, PR
National Provider Identifier
1942752001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1892
- Practice address
- A26 Calle Flamboyan
Caguas, PR 00725-6154 - Phone
- (787) 595-3224
- NPI assigned
- Oct 25, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1892 | PR | Primary |
Addresses
Primary practice location
A26 Calle Flamboyan
Caguas, PR 00725-6154
Mailing address
M11 Calle Arecibo
Villa Carmen
Caguas, PR 00725
Phone (787) 595-3224
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1892 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477353600000",
"number": "1942752001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "M11 CALLE ARECIBO",
"address_2": "VILLA CARMEN",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-595-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A26 CALLE FLAMBOYAN",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007256154",
"telephone_number": "787-595-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "EVELYN",
"middle_name": "IVETTE",
"name_prefix": "Miss",
"credential": "DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2016-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.