Individual provider Active NPI

Maria E Melendez-Morales, RDN

  • Nutritionist
  • Guaynabo, PR
National Provider Identifier
1477071173
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1911 Issued in PR
Practice address
Guaynabo Medical Mall Suite 106
140 Ave Las Cumbres
Guaynabo, PR 00969
Phone
(787) 710-2532
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 1911 PR
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X 1911 PR Primary

Addresses

Primary practice location

Guaynabo Medical Mall Suite 106
140 Ave Las Cumbres
Guaynabo, PR 00969

Mailing address

Villa Carolina
136-19 Calle 405
Carolina, PR 00985-4008
Phone (787) 376-2115

Other practice location 1

600 Calle Dr Hernan Cortes Ste 201
Toa Baja, PR 00950-5001
Phone (787) 710-2532 ext. 8001

Other identifiers 1

IdentifierTypeStateIssuer
1911OtherPROFFCIE OF REGULARION AND CERTIFICATION OF HEALTH PROFESSIONALS

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
1911PRMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1477071173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA CAROLINA",
            "address_2": "136-19 CALLE 405",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009854008",
            "telephone_number": "787-376-2115",
            "fax_number": "939-202-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUAYNABO MEDICAL MALL SUITE 106",
            "address_2": "140 AVE LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-710-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Calle Dr Hernan Cortes Ste 201",
            "address_purpose": "LOCATION",
            "city": "Toa Baja",
            "state": "PR",
            "postal_code": "009505001",
            "country_code": "US",
            "telephone_number": "787-710-2532 x8001",
            "fax_number": "939-202-7294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ-MORALES",
        "first_name": "MARIA",
        "middle_name": "E",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "PR",
            "license": "1911",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFCIE OF REGULARION AND CERTIFICATION OF HEALTH PROFESSIONALS",
            "identifier": "1911",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.