Monica Santiago Gordian, RDN, LND

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1532 Issued in PR

Practice address

Calle Garcia de la Noceda B26
Villas de Rio Grande
Rio Grande, PR 00745

Phone

(787) 550-2510

NPI assigned

Apr 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Nutrevita Clinic LLC

  • Clinic/Center
  • Rio Grande, PR
  • NPI 1811684210
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1629336771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17166 GOOSEN DR",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007294508",
            "telephone_number": "787-550-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE GARCIA DE LA NOCEDA B26",
            "address_2": "VILLAS DE RIO GRANDE",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-550-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17166 GOOSEN DR",
            "address_purpose": "LOCATION",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007294508",
            "country_code": "US",
            "telephone_number": "787-550-2510",
            "fax_number": "787-550-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO GORDIAN",
        "first_name": "MONICA",
        "credential": "RDN, LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saltarines: Terapia Pediatrica Inc.
• Laurie Charlene Sanchez Mambru, MD
• Raquel Maria Santaliz, PSY.D
• Dianise Santana Rosa, MD
• Ana Iris Santana, PHTCH
• Ruth M. Santiago, MSW
• Isaias Jose Serrano Alicea, PHARMD
• Aleisha Esther Serrano, D.C.
• Carmen Lizzette Serrano, RPH
• Herimar Serrano, CPL

• Registered Dietitian in Rio Grande, PR
• Providers in Rio Grande, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.

Verify at the official NPI Registry.