Active NPI
Alejandra Rodriguez Rodriguez, LND
- Registered Dietitian
- Coamo, PR
National Provider Identifier
1659992493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1545
- Practice address
- Urbanizacion Hacienda Miraflores
#32 Calle Jazmin
Coamo, PR 00769 - Phone
- (787) 955-0779
- NPI assigned
- May 4, 2020
- Last updated
- Mar 6, 2024
- 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 | 1545 | PR | Primary |
Addresses
Primary practice location
Urbanizacion Hacienda Miraflores
#32 Calle Jazmin
Coamo, PR 00769
Mailing address
Urbanizacion Hacienda Miraflores
#32 Calle Jazmin
Coamo, PR 00769
Phone (787) 955-0779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240425000136 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 1052742319 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1545 | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1659992493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URBANIZACION HACIENDA MIRAFLORES",
"address_2": "#32 CALLE JAZMIN",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-955-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URBANIZACION HACIENDA MIRAFLORES",
"address_2": "#32 CALLE JAZMIN",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-955-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ RODRIGUEZ",
"first_name": "ALEJANDRA",
"name_prefix": "Mrs.",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.