Individual provider Active NPI

Vanessa Marie Maldonado Colon, MPHGERO, LND

  • Registered Dietitian
  • San Juan, PR
National Provider Identifier
1245043363
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2066 Issued in PR
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

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.