Juliette Siham Elmusa Rivera, LND

Primary specialty

NutritionistTaxonomy code 133N00000X

License

001987 Issued in PR

Practice address

1682 Ave Parana
San Juan, PR 00926

Phone

(939) 327-8914

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Tiber Health, Public Benefit Corporation

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1184139602

  Nutritionist

  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1982151312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1682 CALLE PARANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263144",
            "telephone_number": "939-217-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 AVE PARANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "939-327-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMUSA RIVERA",
        "first_name": "JULIETTE",
        "middle_name": "SIHAM",
        "name_prefix": "Ms.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "001987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Medical Clinic of PR LLC
• Elite Medical Global Puerto Rico, LLC
• Elite Network Physicians Home Services PSC
• Elite OB-GYN
• Elite Periodontics
• Vanessa Elvira, MA
• Omar Elwishahi, MD
• Natalie Ivelisse Emanuelli Vazquez
• Pedro Luis Emanuelli, D.M.D.
• Emcara Health of Puerto Rico, LLC

• All providers in San Juan, PR
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.