DIETETIKO LLC
NPI 1003641127
Dietitian, Registered in Bayamon, PR

Active since September 06, 2024
1845 CARR #2, SUITE 509, BAYAMON, PR 00959(939) 225-7002(939) 225-7741 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dietetiko Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIETETIKO LLC (NPI 1003641127) is a healthcare organization registered as a dietitian, registered in Bayamon, Puerto Rico and active in the NPI registry since September 2024. The organization maintains 2 additional practice locations and lists Rickly Jose Torres Garcia, President, as its authorized official.

NPPES Registry Identity

NPI1003641127
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameDIETETIKO LLC
Location Address1845 CARR #2, SUITE 509Bayamon, PR 00959
Mailing AddressV8 Calle 12Bayamon, PR 00959-8017 · (787) 903-1703
Fax(939) 225-7741
Organization SubpartNo
Authorized OfficialRickly Jose Torres GarciaPresident · (787) 903-1703
Enumeration DateSeptember 6, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1003641127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Secondary Practice Locations 2

Location 11492 AVE PONCE DE LEON, SUITE 112 CENTRO EUROPASAN JUAN, PR 00907-4012 · Phone (939) 399-3494
Location 21519 Ave Ponce De Leon Ste 1105San Juan, PR 00909-1722 · Phone (787) 977-0707

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dietetiko Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dietetiko LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1639837065
A6 CALLE CEIBA URB. QUINTAS DE DORADO
Dorado, PR 00646
(787) 903-1703
✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dietetiko LLC's NPI number?

The NPI number for Dietetiko LLC is 1003641127. It was assigned to this organization in the NPPES registry on September 6, 2024.

Where is Dietetiko LLC located?

Dietetiko LLC is located at 1845 Carr #2 Suite 509, Bayamon, PR 00959. The listed phone number is (939) 225-7002.

What is Dietetiko LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Dietetiko LLC enrolled in Medicare?

Yes. Dietetiko LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dietetiko LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Dietetiko LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dietetiko LLC was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.