Active NPI
Carmen Lydia Santos Santos, LND
- Nutritionist
- Bayamon, PR
National Provider Identifier
1962623983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 563
- Practice address
- Avenida Santa Juanita BB-28
Bayamon, PR 00959 - Phone
- (787) 786-8695
- Fax
- (787) 740-8322
- NPI assigned
- May 1, 2007
- 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 | 563 | PR | Primary |
Addresses
Primary practice location
Avenida Santa Juanita BB-28
Bayamon, PR 00959
Mailing address
Colinas Metropolitanas V-19
Calle Monte del Estado
Guaynabo, PR 00969-5237
Phone (787) 790-4564
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 563 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962623983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLINAS METROPOLITANAS V-19",
"address_2": "CALLE MONTE DEL ESTADO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695237",
"telephone_number": "787-790-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA SANTA JUANITA BB-28",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-786-8695",
"fax_number": "787-740-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS SANTOS",
"first_name": "CARMEN",
"middle_name": "LYDIA",
"name_prefix": "Ms.",
"credential": "LND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "563",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.