Active NPI
Neysa Rebeca Diaz Colon, LND
- Nutritionist
- Humacao, PR
National Provider Identifier
1972024891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1180
- Practice address
- Palmanova Village 285 Palmas Inn Way Apt 9102
Humacao, PR 00791 - Phone
- (787) 944-3978
- NPI assigned
- Jun 30, 2017
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1180 | PR | Primary |
Addresses
Primary practice location
Palmanova Village 285 Palmas Inn Way Apt 9102
Humacao, PR 00791
Mailing address
Palmanova Village 285 Palmas Inn Way Apt 9-102
Humacao, PR 00791
Phone (787) 944-3978
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 |
|---|---|---|---|
| 1180 | PR | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1972024891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PALMANOVA VILLAGE 285 PALMAS INN WAY APT 9-102",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-944-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PALMANOVA VILLAGE 285 PALMAS INN WAY APT 9102",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-944-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ COLON",
"first_name": "NEYSA",
"middle_name": "REBECA",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.