Active NPI
Isabel Cristina Rodriguez Barrera
- Nutritionist
- Santa Isabel, PR
National Provider Identifier
1992412894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1108
- Practice address
- 3650 Calle Concha
Santa Teresita
Santa Isabel, PR 00757 - Phone
- (939) 525-0525
- NPI assigned
- Oct 31, 2022
- Last updated
- Oct 31, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1108 | PR | Primary |
Addresses
Primary practice location
3650 Calle Concha
Santa Teresita
Santa Isabel, PR 00757
Mailing address
3650 Calle Concha
Santa Isabel, PR 00757-3212
Phone (787) 485-3662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230411003094 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 0941675656 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108 | PR | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psymed Clinic, PSC | Nutritionist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1992412894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 CALLE CONCHA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007573212",
"telephone_number": "787-485-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 CALLE CONCHA",
"address_2": "SANTA TERESITA",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "00757",
"telephone_number": "939-525-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ BARRERA",
"first_name": "ISABEL",
"middle_name": "CRISTINA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Isabel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.