Individual provider Active NPI

Vilma Lizzette Perez Ortiz, LND

  • Nutritionist
  • Bayamon, PR
National Provider Identifier
1962083881
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
831 Issued in PR
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

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
831PRMDNutritionist

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.

Verify at the official NPI Registry.