Longevity Nutrition Services, LLC
NPI 1609642859ActiveOrganization· Nutritionist· Yauco, PR
Nutritionist in Yauco, Puerto Rico, registered in NPPES in November 2023. The authorized official on file is Alexandra G. Perez Rodriguez, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609642859 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2023 |
| Last updated in NPPES | Feb 15, 2024 |
| Certified by provider | Feb 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | — | — |
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) |
|---|
Other Nutritionist providers in Yauco
- 1922309368
- 1891458097