Individual provider Active NPI

Maria Teresa Rios Vazquez, LND

  • Nutritionist
  • Ponce, PR
National Provider Identifier
1962871731
Registry record updated Jun 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1942 Issued in PR
Practice address
8169 Condominio San Vicente
Suit 412 Calle Concordia
Ponce, PR 00717
Phone
(787) 284-5884
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1942 PR Primary

Addresses

Primary practice location

8169 Condominio San Vicente
Suit 412 Calle Concordia
Ponce, PR 00717

Mailing address

PO Box 83
Santa Isabel, PR 00757
Phone (787) 226-1176

Other practice location 1

69 Ave. Celis Aguilera
Santa Isabel, PR 00757
Phone (787) 226-1176

Other names 1

  • Maria T. Rios Vazquez Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160216002284 PR Practitioner - Registered Dietitian Or Nutrition Professional 4385949122 Practice locations: Coamo, PR

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Calle Segundo Bernier
Coamo, PR 00769-3036
Phone (787) 803-8221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1942PRMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Nutricion del Sur LLC PastSince Dec 24, 2023 Accepting new patients

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527984000000",
    "number": "1962871731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-226-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CONDOMINIO SAN VICENTE",
            "address_2": "SUIT 412 CALLE CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-284-5884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 AVE. CELIS AGUILERA",
            "address_purpose": "LOCATION",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "country_code": "US",
            "telephone_number": "787-226-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS VAZQUEZ",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2018-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA T.",
            "last_name": "VAZQUEZ",
            "middle_name": "RIOS",
            "credential": "LND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.