Active NPI
Vilma Lizzette Perez Ortiz, LND
- Nutritionist
- Bayamon, PR
National Provider Identifier
1962083881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 831
- Practice address
- Bayamon Health Center Piso 2
Calle Manuel F. Rossi Esquina Isabel II
Bayamon, PR 00961 - Phone
- (787) 269-6590
- Fax
- (787) 269-6599
- NPI assigned
- Apr 21, 2021
- 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 | 831 | PR | Primary |
Addresses
Primary practice location
Bayamon Health Center Piso 2
Calle Manuel F. Rossi Esquina Isabel II
Bayamon, PR 00961
Mailing address
Cond Torre del Cardenal
SPH-10 675 Cuevas Bustamante
San Juan, PR 00918
Phone (787) 397-1625
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 |
|---|---|---|---|
| 831 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1962083881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND TORRE DEL CARDENAL",
"address_2": "SPH-10 675 CUEVAS BUSTAMANTE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-397-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYAMON HEALTH CENTER PISO 2",
"address_2": "CALLE MANUEL F. ROSSI ESQUINA ISABEL II",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-269-6590",
"fax_number": "787-269-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ ORTIZ",
"first_name": "VILMA",
"middle_name": "LIZZETTE",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.