Active NPI
Zuleyma Gonzalez Matta, LPN
- Registered Dietitian
- Gurabo, PR
National Provider Identifier
1952919169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1989
- Practice address
- 215 Calle Jacinto
Gurabo, PR 00778-9033 - Phone
- (787) 246-7595
- NPI assigned
- Jul 14, 2020
- Last updated
- Jul 14, 2020
- 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 | 1989 | PR | Primary |
Addresses
Primary practice location
215 Calle Jacinto
Gurabo, PR 00778-9033
Mailing address
215 Calle Jacinto
Gurabo, PR 00778-9033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201008003239 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 7810317047 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1989 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1952919169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 CALLE JACINTO",
"city": "GURABO",
"state": "PR",
"postal_code": "007789033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CALLE JACINTO",
"city": "GURABO",
"state": "PR",
"postal_code": "007789033",
"telephone_number": "787-246-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ MATTA",
"first_name": "ZULEYMA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.