Active NPI
Vanessa Marie Maldonado Colon, MPHGERO, LND
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1245043363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2066
- Practice address
- Villas de San Francisco Plaza LL
87 Ave. de Diego Suite 211
San Juan, PR 00928-0092 - Phone
- (787) 672-1657
- NPI assigned
- Jan 31, 2025
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2066 | PR | Primary |
Addresses
Primary practice location
Villas de San Francisco Plaza LL
87 Ave. de Diego Suite 211
San Juan, PR 00928-0092
Mailing address
Villas de San Francisco Plaza II
87 Ave. de Diego Suite 211
San Juan, PR 00928
Phone (787) 672-1657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1245043363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VILLAS DE SAN FRANCISCO PLAZA II",
"address_2": "87 AVE. DE DIEGO SUITE 211",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00928",
"telephone_number": "787-672-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VILLAS DE SAN FRANCISCO PLAZA LL",
"address_2": "87 AVE. DE DIEGO SUITE 211",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009280092",
"telephone_number": "787-672-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO COLON",
"first_name": "VANESSA",
"middle_name": "MARIE",
"credential": "MPHGERO, LND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-31",
"last_updated": "2025-01-31",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "2066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.