Active NPIIndividual providerSole proprietor

Ms. Kennie Rivera Russe, RDN, LND

Dietitian, Registered in Manati, Puerto Rico

NPI Number1518692532
Practice location
Carr. 685 Km 1.9 Bo. Tierras Nuevas, Manati, PR 00674
Fax
—
Last updated
July 22, 2022

Kennie Rivera Russe is a Dietitian, Registered based in Manati, PR. Kennie Rivera Russe practices in Manati, PR and has the professional credentials of RDN, LND. The NPI Number for Kennie Rivera Russe is 1518692532 and holds a License No. 1699 (PR). The current practice location address for Kennie Rivera Russe is Carr. 685 Km 1.9 Bo. Tierras Nuevas, Manati, PR 00674 and can be reached out via phone at 787-562-1099.

Provider Profile Details

NPI Number
1518692532
Provider Name
Kennie Rivera Russe
Credential
RDN, LND
Provider Entity Type
Individual
Gender
Female
Address
Carr. 685 Km 1.9 Bo. Tierras Nuevas, Manati, PR 00674
Phone Number
787-562-1099
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 22, 2022
Last Update Date
July 22, 2022
Certification Date
July 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr. 685 Km 1.9 Bo. Tierras Nuevas
Manati, PR 00674
City
Manati
Zip
00674
Phone Number
787-562-1099
Manati, PR 00674Get directions →

Provider Business Mailing Address Details

Address
Condominio Cadiz 253 Calle Chile Apt. 4C
San Juan, PR 00917
City
San Juan
State
PR
Zip
00917
Phone Number
787-562-1099

License Information

License Number
1699
License State
PR
Taxonomy
Dietitian, Registered · 133V00000X · 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 Ms. Kennie Rivera Russe, RDN, LND?

The NPI number of Ms. Kennie Rivera Russe, RDN, LND is 1518692532. It was assigned on July 22, 2022 and is currently active in the NPPES registry.

What is the specialty of Ms. Kennie Rivera Russe, RDN, LND?

Ms. Kennie Rivera Russe, RDN, LND is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PR under license number 1699.

Where does Ms. Kennie Rivera Russe, RDN, LND practice?

The practice location is Carr. 685 Km 1.9 Bo. Tierras Nuevas, Manati, PR 00674. The office can be reached at 787-562-1099 (phone).

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 1518692532 directly on the NPPES registry website.

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