Active NPI
Ireli Maria Redondo I, LND
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1669245783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2203
- Practice address
- Caparra Terrace 1152 Ave. Americo Miranda
San Juan, PR 00921 - Phone
- (787) 635-8283
- NPI assigned
- Oct 31, 2023
- Last updated
- Oct 31, 2023
- 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 | 2203 | PR | Primary |
Addresses
Primary practice location
Caparra Terrace 1152 Ave. Americo Miranda
San Juan, PR 00921
Mailing address
Calle Hortensia
Cond. Sky Towers III Apt 15P
San Juan, PR 00926
Phone (787) 635-8283
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2203 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1669245783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE HORTENSIA",
"address_2": "COND. SKY TOWERS III APT 15P",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-635-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAPARRA TERRACE 1152 AVE. AMERICO MIRANDA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-635-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDONDO",
"first_name": "IRELI",
"middle_name": "MARIA",
"name_suffix": "I",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "2203",
"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 Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.