Active NPI
Nelida Maldonado
- Nutritionist
- Carolina, PR
National Provider Identifier
1073564498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 953
- Practice address
- Medicina de Familia Y Cuidado Respiratorio
C 11 Ave Roberto Clemente BLQ 33 2
Carolina, PR 00985 - Phone
- (787) 273-1227
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 953 | PR | Primary |
Addresses
Primary practice location
Medicina de Familia Y Cuidado Respiratorio
C 11 Ave Roberto Clemente BLQ 33 2
Carolina, PR 00985
Mailing address
Con Vista Verde 1200
Edif H Apto 309
San Juan, PR 00924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040614001341 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 4284618737 | Practice locations: Carolina, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 953 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073564498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CON VISTA VERDE 1200",
"address_2": "EDIF H APTO 309",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICINA DE FAMILIA Y CUIDADO RESPIRATORIO",
"address_2": "C 11 AVE ROBERTO CLEMENTE BLQ 33 2",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-273-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "NELIDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.