Active NPI
Alexandra Estrada Rosa, RD
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1336660281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001960
- Practice address
- 1492 Ave Ponce de Leon
Edif. Centro Europa 713
San Juan, PR 00907-4024 - Phone
- (787) 723-5017
- Fax
- (787) 723-5015
- NPI assigned
- Jun 30, 2017
- 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 | 001960 | PR | Primary |
Addresses
Primary practice location
1492 Ave Ponce de Leon
Edif. Centro Europa 713
San Juan, PR 00907-4024
Mailing address
Urb Marina Bahia
MF-15, Plaza 32
Catano, PR 00962
Phone (787) 637-6627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1960 | Other | PR | PR HEALTH DEPARTMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170927001604 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 4789958976 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of Puerto Rico School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1492 Ave Ponce de Leon
Edif. Centro Europa 713
San Juan, PR 00907
Phone (787) 723-5017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1960 | PR | MD | Counseling Psychologist |
| 001960 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tu Nutricion Corporation | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1336660281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB MARINA BAHIA",
"address_2": "MF-15, PLAZA 32",
"city": "CATANO",
"state": "PR",
"postal_code": "00962",
"telephone_number": "787-637-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 AVE PONCE DE LEON",
"address_2": "EDIF. CENTRO EUROPA 713",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009074024",
"telephone_number": "787-723-5017",
"fax_number": "787-723-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA ROSA",
"first_name": "ALEXANDRA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2024-08-19",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "001960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PR HEALTH DEPARTMENT",
"identifier": "1960",
"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 Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.