Active NPI
Raiza M Parrilla-Calo, LND
- Nutritionist
- Fajardo, PR
National Provider Identifier
1942853932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1585
- Practice address
- 151 Ave Osvaldo Molina
Fajardo, PR 00738-4013 - Phone
- (787) 801-0081
- Fax
- (787) 522-3578
- NPI assigned
- Jul 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1585 | PR | Primary |
Addresses
Primary practice location
151 Ave Osvaldo Molina
Fajardo, PR 00738-4013
Mailing address
HC 3 Box 7916
Canovanas, PR 00729-9771
Phone (787) 642-4548
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 |
|---|---|---|---|
| 1585 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1942853932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 7916",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007299771",
"telephone_number": "787-642-4548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 AVE OSVALDO MOLINA",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007384013",
"telephone_number": "787-801-0081",
"fax_number": "787-522-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRILLA-CALO",
"first_name": "RAIZA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist",
"state": "PR",
"license": "1585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.