Angelica Maria Laclaustra, B.S

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

1907 Issued in PR

Practice address

PR 129 KM 15.1
Suite #3 First Floor
Hatillo, PR 00659

Phone

(787) 453-6557

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1972103828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "ANGELES",
            "state": "PR",
            "postal_code": "006110245",
            "telephone_number": "787-453-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 129 KM 15.1",
            "address_2": "SUITE #3 FIRST FLOOR",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-453-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACLAUSTRA",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1907",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PR",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico El Cemi
• Laboratorio Clinico Hatillano
• Laboratorio Clinico Plaza del Norte Inc.
• Laboratorios del Sueno de Puerto Rico
• Laborotorio Clinico Y Bacteriologico Hatillo Inc
• Laroptikal
• Lechuga Medical Services PSC
• Life Support Ambulance, Inc.
• LJ Health Group Inc
• Berenice N Lopez Garcia

• Nutrition Education Nutritionist in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Nutrition Education Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.