Individual provider Active NPI

Joanlin Marie Castellar Rodriguez, RD

  • Registered Dietitian
  • Ponce, PR
National Provider Identifier
1427767086
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2167 Issued in PR
Practice address
Parra Medical Plaza
2225 Ponce by Pass Suite 509
Ponce, PR 00717-1379
Phone
(787) 284-7150
Fax
(787) 842-1199
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2167 PR Primary

Addresses

Primary practice location

Parra Medical Plaza
2225 Ponce by Pass Suite 509
Ponce, PR 00717-1379

Mailing address

HC 1 Box 10305
Guayanilla, PR 00656-9718
Phone (787) 635-0389

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL NA Direct
CONNECT URL NA Direct

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
2167PRMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1427767086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 10305",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006569718",
            "telephone_number": "787-635-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARRA MEDICAL PLAZA",
            "address_2": "2225 PONCE BY PASS SUITE 509",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171379",
            "telephone_number": "787-284-7150",
            "fax_number": "787-842-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLAR RODRIGUEZ",
        "first_name": "JOANLIN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "Parra Medical Plaza",
            "address_2": "2225 Ponce By Pass Suite 509",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007171379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "Parra Medical Plaza",
            "address_2": "2225 Ponce By Pass Suite 509",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007171379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.