Active NPI
Ismari Delgado Espada, LND, ED, ENP-PR
- Nutritionist
- Canovanas, PR
National Provider Identifier
1952953671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2064
- Practice address
- PO Box 1776
Canovanas, PR 00729-1776 - Phone
- (787) 220-2784
- NPI assigned
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 2064 | PR | Primary |
Addresses
Primary practice location
PO Box 1776
Canovanas, PR 00729-1776
Mailing address
PO Box 1776
Canovanas, PR 00729-1776
Phone (787) 220-2784
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2064 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1952953671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1776",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007291776",
"telephone_number": "787-220-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1776",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "007291776",
"telephone_number": "787-220-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO ESPADA",
"first_name": "ISMARI",
"credential": "LND, ED, ENP-PR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "2064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.