Active NPI
Jackeline Morales Rosa, LCDA.
- Registered Dietitian
- Aibonito, PR
National Provider Identifier
1316347180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1886
- Practice address
- Calle Wheeler 21 Suite a
Aibonito, PR 00705-3330 - Phone
- (787) 735-5161
- NPI assigned
- Aug 29, 2014
- 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 | 1886 | PR | Primary |
Addresses
Primary practice location
Calle Wheeler 21 Suite a
Aibonito, PR 00705-3330
Mailing address
HC 02 Box 9778
Aibonito, PR 00705
Phone (787) 735-5161
Other names 1
- Jackeline Morales Rosa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141124001592 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 7810219185 | Practice locations: Aibonito, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1886 | PR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1316347180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 02 BOX 9778",
"city": "AIBONITO",
"state": "PR",
"postal_code": "00705",
"telephone_number": "787-735-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE WHEELER 21 SUITE A",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007053330",
"telephone_number": "787-735-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES ROSA",
"first_name": "JACKELINE",
"credential": "LCDA.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-29",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACKELINE",
"last_name": "MORALES ROSA",
"credential": "LCDA.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.