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1558161323 NPI number — SANDRA LUZ ORTIZ ROSADO LND

NPI Number: 1558161323
Health Care Provider/Practitioner: SANDRA LUZ ORTIZ ROSADO LND

Information about “1558161323” NPI (SANDRA LUZ ORTIZ ROSADO LND) exists in 1558161323 in HTML format HTML  |  1558161323 in plain Text format TXT  |  1558161323 in PDF (Portable Document Format) PDF  |  1558161323 in an XML format XML  formats.

NPI Number : 1558161323 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558161323",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ORTIZ ROSADO",
    "FirstName": "SANDRA",
    "MiddleName": "LUZ",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LND",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 16364",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00908-6364",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-671-5706",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "165 STREET #90",
    "SecondLinePracticeLocationAddress": "CENTRO INTERNACIONAL DE MERCADEO",
    "PracticeLocationAddressCityName": "GUAYNABO",
    "PracticeLocationAddressStateName": "PUERTO RICO",
    "PracticeLocationAddressPostalCode": "00908",
    "PracticeLocationAddressCountryCode": "UM",
    "PracticeLocationAddressTelephoneNumber": "787-671-5706",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/19/2025",
    "LastUpdateDate": "03/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "970",
          "LicenseNumberStateCode": "PR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133VN1006X",
          "TaxonomyName": "Metabolic Nutrition Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133VN1301X",
          "TaxonomyName": "Oncology Nutrition Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133VN1501X",
          "TaxonomyName": "Sports Dietetics Nutrition Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133VN1201X",
          "TaxonomyName": "Obesity and Weight Management Nutrition Registered Dietitian",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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