Active NPIIndividual providerSole proprietor

Karissa Fuller, MS, RD, LND

Dietitian, Registered in San Juan, Puerto Rico

NPI Number1821690256
Practice location
1ER Piso, Centro Medico De Puerto Rico, Edif. Decanato De Estudiantes, San Juan, PR 00926
Fax
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Last updated
October 27, 2022

Karissa Fuller is a Dietitian, Registered based in San Juan, PR. Karissa Fuller practices in San Juan, PR and has the professional credentials of MS, RD, LND. The NPI Number for Karissa Fuller is 1821690256 and holds a License No. 2108 (PR). The current practice location address for Karissa Fuller is 1ER Piso, Centro Medico De Puerto Rico, Edif. Decanato De Estudiantes, San Juan, PR 00926 and can be reached out via phone at 787-773-8283.

Provider Profile Details

NPI Number
1821690256
Provider Name
Karissa Fuller
Credential
MS, RD, LND
Provider Entity Type
Individual
Gender
Female
Address
1ER Piso, Centro Medico De Puerto Rico, Edif. Decanato De Estudiantes, San Juan, PR 00926
Phone Number
787-773-8283
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 10, 2020
Last Update Date
October 27, 2022
Certification Date
October 24, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1ER Piso, Centro Medico De Puerto Rico
Edif. Decanato De Estudiantes
San Juan, PR 00926
Zip
00926
Phone Number
787-773-8283
San Juan, PR 00926Get directions →

Provider Business Mailing Address Details

Address
161 Calle Cesar Gonzalez Apt 6
San Juan, PR 00918-1423
City
San Juan
State
PR
Zip
00918-1423

License Information

License Number
2108
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 Karissa Fuller, MS, RD, LND?

The NPI number of Karissa Fuller, MS, RD, LND is 1821690256. It was assigned on November 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Karissa Fuller, MS, RD, LND?

Karissa Fuller, MS, RD, LND is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PR under license number 2108.

Where does Karissa Fuller, MS, RD, LND practice?

The practice location is 1ER Piso, Centro Medico De Puerto Rico, Edif. Decanato De Estudiantes, San Juan, PR 00926. The office can be reached at 787-773-8283 (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 1821690256 directly on the NPPES registry website.

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