Active NPI
Jose Luis Guzman Jr., RDN, LD
- Registered Dietitian
- Albuquerque, NM
National Provider Identifier
1972117661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-1318
- Practice address
- 1209 Mountain Road PL NE # 5906
Albuquerque, NM 87110-7845 - Phone
- (815) 603-3305
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- 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 | LD-1318 | NM | Primary |
Addresses
Primary practice location
1209 Mountain Road PL NE # 5906
Albuquerque, NM 87110-7845
Mailing address
1209 Mountain Road PL NE # 5906
Albuquerque, NM 87110-7845
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 |
|---|---|---|---|
| LD-1318 | NM | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose Guzman RDN LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
1209 Mountain Road Pl NE
#5906
Albuquerque, NM 87110
Phone (815) 603-3305
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": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1972117661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 MOUNTAIN ROAD PL NE # 5906",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 MOUNTAIN ROAD PL NE # 5906",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107845",
"telephone_number": "815-603-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "JOSE",
"middle_name": "LUIS",
"name_suffix": "Jr.",
"credential": "RDN, LD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-01",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-1318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.