Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NUTRIVIDA LLC
Active
Organization
NUTRIVIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSELYN M PEREZ RDN (OFFICER)
(939) 652-7601
Entity
Organization
Contact information
Practice address
53 CALLE DR GOYCO, CAGUAS, PR 00725-2624
(787) 652-7601
Mailing address
28 CALLE URANO LOS PAISAJES CIUDAD JARDIN, GURABO, PR 00778-9211
(939) 652-7601
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467691972
DIETITIAN
PR
05
—
1467691972
—
PR
Enumeration date
02/20/2022
Last updated
04/07/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up