Active NPI
Cristina Munoz, LND
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1962882829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1457
- Practice address
- 1300 Calle Atenas
Suite 209
San Juan, PR 00926-7807 - Phone
- (787) 396-1916
- NPI assigned
- Jun 5, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1457 | PR | Primary |
Addresses
Primary practice location
1300 Calle Atenas
Suite 209
San Juan, PR 00926-7807
Mailing address
138 Ave Winston Churchill
PMB 323
San Juan, PR 00926-6013
Phone (787) 396-1916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457 | Medicaid | PR |
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 |
|---|---|---|---|
| 1457 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1962882829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 AVE WINSTON CHURCHILL",
"address_2": "PMB 323",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266013",
"telephone_number": "787-396-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 CALLE ATENAS",
"address_2": "SUITE 209",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009267807",
"telephone_number": "787-396-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "CRISTINA",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-05",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.