Individual provider Active NPI

Gabriela I Mercado Rojas, RDN,LND

  • Registered Dietitian
  • Utuado, PR
National Provider Identifier
1962262782
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86151512 Issued in PR
Practice address
17 Calle Dr Cueto
Utuado, PR 00641-2910
Phone
(787) 242-2835
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 2251 PR
Registered Dietitian 133V00000X 86151512 PR Primary

Addresses

Primary practice location

17 Calle Dr Cueto
Utuado, PR 00641-2910

Mailing address

77 Calle Zirconia
Isabela, PR 00662-2378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507002362 PR Practitioner - Registered Dietitian Or Nutrition Professional 3375984487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2251PRMDDentist
86151512PRMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrisector LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

165 Calle La Paz
Aguada, PR 00602
Phone (678) 890-7174

27 Calle Peral N
Mayaguez, PR 00680
Phone (787) 242-2835

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1962262782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE ZIRCONIA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE DR CUETO",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412910",
            "telephone_number": "787-242-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO ROJAS",
        "first_name": "GABRIELA",
        "middle_name": "I",
        "credential": "RDN,LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2251",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "86151512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.

Verify at the official NPI Registry.