NPI 1972117661 · live from the CMS NPI Registry
Jose Luis Guzman, RDN, LD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1972117661, active.
NPI record
| NPI | 1972117661 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1209 Mountain Road Pl Ne # 5906, Albuquerque, NM 87110 |
| Practice phone | 815-603-3305 |
| Enumerated | September 1, 2020 |
| Last updated | March 10, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-1318 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.