Active NPIIndividual providerSole proprietor

Mrs. Jeannete Rivera Cruz, LIC

Nutritionist in Bayamon, Puerto Rico

NPI Number1174724843
Practice location
Casa Lina Ave. #1 Suite 101, 177 Route Los Filtros, Bayamon, PR 00969
Fax
787-789-1921
Last updated
November 14, 2023

Jeannete Rivera Cruz is a Nutritionist based in Bayamon, PR. Jeannete Rivera Cruz practices in Bayamon, PR and has the professional credentials of LIC. The NPI Number for Jeannete Rivera Cruz is 1174724843 and holds a License No. 964 (PR). The current practice location address for Jeannete Rivera Cruz is Casa Lina Ave. #1 Suite 101, 177 Route Los Filtros, Bayamon, PR 00969 and can be reached out via phone at 787-789-1919 and via fax at 787-789-1921.

Provider Profile Details

NPI Number
1174724843
Provider Name
Jeannete Rivera Cruz
Credential
LIC
Provider Entity Type
Individual
Gender
Female
Address
Casa Lina Ave. #1 Suite 101, 177 Route Los Filtros, Bayamon, PR 00969
Phone Number
787-789-1919
Fax Number
787-789-1921
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 30, 2007
Last Update Date
November 14, 2023
Certification Date
October 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
Casa Lina Ave. #1 Suite 101
177 Route Los Filtros
Bayamon, PR 00969
Zip
00969
Phone Number
787-789-1919
Fax Number
787-789-1921
Bayamon, PR 00969Get directions →

Provider Business Mailing Address Details

Address
Pmb 509
P.o.box 7891
Guaynabo, PR 00970-7891
City
Guaynabo
State
PR
Zip
00970-7891
Phone Number
787-789-1919
Fax Number
787-789-1921

License Information

Taxonomy (1)
Nutritionist, Nutrition, Education · 133NN1002X
License Number (2)
964
License State (2)
PR
Taxonomy (2)
Nutritionist · 133N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jeannete Rivera Cruz, LIC?

The NPI number of Mrs. Jeannete Rivera Cruz, LIC is 1174724843. It was assigned on May 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jeannete Rivera Cruz, LIC?

Mrs. Jeannete Rivera Cruz, LIC is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in PR under license number 964.

Where does Mrs. Jeannete Rivera Cruz, LIC practice?

The practice location is Casa Lina Ave. #1 Suite 101, 177 Route Los Filtros, Bayamon, PR 00969. The office can be reached at 787-789-1919 (phone) or 787-789-1921 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174724843 directly on the NPPES registry website.

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