Aida Nancy Sisco, RDN, LND, DYSC, DEPR

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1019815 Issued in PR

Practice address

Carr 112 KM 1.4 Int
Ave Agustin Ramos Calero Hospital Cima de Isabela
Isabela, PR 00662-0979

Phone

(787) 242-2835

NPI assigned

May 11, 2015

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

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nutrisector LLC

  • Clinic/Center
  • Isabela, PR
  • NPI 1902303050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1982082061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE ZIRCONIA",
            "address_2": "URB.LAMELA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622378",
            "telephone_number": "787-242-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 112 KM 1.4 INT",
            "address_2": "AVE AGUSTIN RAMOS CALERO HOSPITAL CIMA DE ISABELA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620979",
            "telephone_number": "787-242-2835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "calle Peral #27 Norte",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "00680",
            "country_code": "US",
            "telephone_number": "787-242-2835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISCO",
        "first_name": "AIDA",
        "middle_name": "NANCY",
        "credential": "RDN, LND, DYSC, DEPR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1612",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1019815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Esther Sepulveda
• Wilki Serra
• Lourdes Serrano Molina, MS, CCCSLP
• Servicio Voluntario Emergencia
• Servicios Psiquiatricos Galateo LLC
• Sistema Integrado de Salud del Oeste, LLC
• Julio Kike Soler-Villanueva, M.D.
• Virgen Maria Soler
• Zahira Sotelo-Acevedo
• Heimelys Soto

• Registered Dietitian in Isabela, PR
• Providers in Isabela, PR by specialty
• Registered Dietitian in Puerto Rico

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

Verify at the official NPI Registry.