Individual provider Active NPI

Carla Natalia Colombani, DIETITIAN

  • Nutritionist
  • Hato Rey, PR
National Provider Identifier
1265869432
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1633 Issued in PR
Practice address
715 Ave Ponce de Leon
Nutrition Dept.
Hato Rey, PR 00909-1958
Phone
(787) 758-2000
Fax
(787) 771-7951
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1633 PR Primary

Addresses

Primary practice location

715 Ave Ponce de Leon
Nutrition Dept.
Hato Rey, PR 00909-1958

Mailing address

414 Calle Morell Campos
Villa Palmeras
San Juan, PR 00915-4303
Phone (787) 996-1117

Other identifiers 1

IdentifierTypeStateIssuer
1633OtherPRDIETICIAN'S LICENSE

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

State licenses

LicenseStateTypeSpecialty
1633PRMDNutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1265869432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CALLE MORELL CAMPOS",
            "address_2": "VILLA PALMERAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009154303",
            "telephone_number": "787-996-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON",
            "address_2": "NUTRITION DEPT.",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009091958",
            "telephone_number": "787-758-2000",
            "fax_number": "787-771-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMBANI",
        "first_name": "CARLA",
        "middle_name": "NATALIA",
        "name_prefix": "Miss",
        "credential": "DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETICIAN'S LICENSE",
            "identifier": "1633",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.