Organization Active NPI

Practica Intramural de Nutricion

  • Registered Dietitian
  • San Juan, PR
National Provider Identifier
1982819652
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PRACTICA INTRAMURAL DE NUTRICION
Practice address
Galinde St Office G-12
Nutrition Clinic - Eps
San Juan, PR 00935
Phone
(787) 756-8529
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Prof. Ivonne Anglero, RD
Title
Director
Phone
(787) 756-8529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X PR Primary

Addresses

Primary practice location

Galinde St Office G-12
Nutrition Clinic - Eps
San Juan, PR 00935

Mailing address

Galinde St Office G-12
Nutrition Clinic - Eps
San Juan, PR 00935
Phone (787) 756-8529

Other names 1

  • Practica Intramural - EPS Other name

National Provider Directory

National Provider Directory

Locations

Galinde St
Ofc G12
San Juan, PR 00935
Phone (787) 756-8529

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1982819652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GALINDE ST OFFICE G-12",
            "address_2": "NUTRITION CLINIC - EPS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-756-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GALINDE ST OFFICE G-12",
            "address_2": "NUTRITION CLINIC - EPS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-756-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICA INTRAMURAL DE NUTRICION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "ANGLERO",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-756-8529",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Practica Intramural - EPS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.