Active NPI
Stephanie Marrero Colon, LND, RD
- Registered Dietitian
- Toa Baja, PR
National Provider Identifier
1285971879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1693
- Practice address
- 500 Comerio Ave. Davidson Plaza Suite 10
Toa Baja, PR 00949 - Phone
- (787) 784-5000
- NPI assigned
- Jan 16, 2013
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1693 | PR | Primary |
Addresses
Primary practice location
500 Comerio Ave. Davidson Plaza Suite 10
Toa Baja, PR 00949
Mailing address
C20 Camino de Dalias
Bayamon, PR 00961-3967
Phone (787) 383-0422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130403000174 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 8123263738 | Practice locations: Toa Baja, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qualimed Aesthetics LLC | Past | Accepting new patients | |
| Primary Care and More LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Carolina, PR
- NPI 1023881059
-
- General Practice Physician
- San Juan, PR
- NPI 1427811942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1285971879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C20 CAMINO DE DALIAS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009613967",
"telephone_number": "787-383-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 COMERIO AVE. DAVIDSON PLAZA SUITE 10",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "00949",
"telephone_number": "787-784-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO COLON",
"first_name": "STEPHANIE",
"credential": "LND, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.