Nutrition Lab LLC
NPI 1073301339ActiveOrganization· Dietitian, Registered· San Juan, PR
Dietitian, Registered in San Juan, Puerto Rico, registered in NPPES in April 2025. The authorized official on file is Sachelly Julian-Serrano, RDN, Nutritionist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073301339 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2025 |
| Last updated in NPPES | May 14, 2026 |
| Certified by provider | May 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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