Active NPI
Mirta Colon
- Nutritionist
- San Juan, PR
National Provider Identifier
1285864686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 327
- Practice address
- 121 Ave Roosevelt Apt 1204
San Juan, PR 00917-2743 - Phone
- (787) 361-1977
- NPI assigned
- Jul 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 327 | PR | Primary |
Addresses
Primary practice location
121 Ave Roosevelt Apt 1204
San Juan, PR 00917-2743
Mailing address
121 Ave Roosevelt Apt 1204
San Juan, PR 00917-2743
Phone (787) 361-1977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #327 | Other | PR | DIETITIAN LICENSE NUMBER |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1285864686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 AVE ROOSEVELT APT 1204",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009172743",
"telephone_number": "787-361-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 AVE ROOSEVELT APT 1204",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009172743",
"telephone_number": "787-361-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "MIRTA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "327",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETITIAN LICENSE NUMBER",
"identifier": "#327",
"state": "PR"
}
],
"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 Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.