Active NPI
Zadia Y Rodriguez, RDN
- Registered Dietitian
- Ponce, PR
National Provider Identifier
1598399446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1192
- Practice address
- Urb. Constancia 2706
Ave. Las Americas
Ponce, PR 00717 - Phone
- (787) 806-5518
- NPI assigned
- Mar 1, 2020
- Last updated
- May 8, 2020
- 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 | 1192 | PR | Primary |
Addresses
Primary practice location
Urb. Constancia 2706
Ave. Las Americas
Ponce, PR 00717
Mailing address
HC 2 Box 4118
Coamo, PR 00769-9673
Phone (787) 376-0641
Other practice location 1
63A Calle Baldorioty
Coamo, PR 00769-2344
Phone (787) 376-0641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200721002425 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 3577987759 | Practice locations: Coamo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1192 | PR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1598399446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 4118",
"city": "COAMO",
"state": "PR",
"postal_code": "007699673",
"telephone_number": "787-376-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. CONSTANCIA 2706",
"address_2": "AVE. LAS AMERICAS",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-806-5518"
}
],
"practiceLocations": [
{
"address_1": "63A Calle Baldorioty",
"address_purpose": "LOCATION",
"city": "Coamo",
"state": "PR",
"postal_code": "007692344",
"country_code": "US",
"telephone_number": "787-376-0641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ZADIA",
"middle_name": "Y",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-01",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 8, 2020; 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.