Active NPI
Caroline E Vazquez Melendez, LCDA
- Nutritionist
- San Juan, PR
National Provider Identifier
1548701691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2004
- Practice address
- 1 Calle Bucare
Condominio Piazeta Aprt #5 Punta Las Marias
San Juan, PR 00913-4638 - Phone
- (787) 920-4254
- NPI assigned
- Mar 9, 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2004 | PR | Primary |
Addresses
Primary practice location
1 Calle Bucare
Condominio Piazeta Aprt #5 Punta Las Marias
San Juan, PR 00913-4638
Mailing address
PO Box 191670
San Juan, PR 00919-1670
Phone (787) 920-4254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29 Calle Washington
Suite 403
San Juan, PR 00907-1521
Phone (787) 920-4254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004 | PR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vita Care,LLC | Current | Accepting new patients |
Locations
10000 Ave 65 Infanteria
Ste 204
Carolina, PR 00985
Phone (787) 523-2458
Interoperability endpoints
- caroline.vazquezmelendez.p1@direct.vitacare.nextgenshare.com
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.
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1437693017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1548701691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191670",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009191670",
"telephone_number": "787-920-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CALLE BUCARE",
"address_2": "CONDOMINIO PIAZETA APRT #5 PUNTA LAS MARIAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009134638",
"telephone_number": "787-920-4254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ MELENDEZ",
"first_name": "CAROLINE",
"middle_name": "E",
"credential": "LCDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2023-06-14",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "2004",
"primary": true
}
],
"identifiers": [],
"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 Jun 14, 2023; 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.