Individual provider Active NPI

Joel A Quinones Rivera, LND

  • Nutrition Education Nutritionist
  • Aguada, PR
National Provider Identifier
1942755400
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
1649 Issued in PR
Practice address
76 Calle Colon
Carr 115 KM 24.3
Aguada, PR 00602-3114
Phone
(787) 252-2165
NPI assigned
Aug 24, 2016
Last updated
Dec 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1649 PR
Nutrition Education Nutritionist 133NN1002X 1649 PR Primary

Addresses

Primary practice location

76 Calle Colon
Carr 115 KM 24.3
Aguada, PR 00602-3114

Mailing address

PO Box 1240
Moca, PR 00676-1240
Phone (787) 236-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112000560 PR Practitioner - Registered Dietitian Or Nutrition Professional 9931480621 Practice locations: Aguada, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1649PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1942755400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1240",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761240",
            "telephone_number": "787-236-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE COLON",
            "address_2": "CARR 115 KM 24.3",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023114",
            "telephone_number": "787-252-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES RIVERA",
        "first_name": "JOEL",
        "middle_name": "A",
        "credential": "LND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1649",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.