Active NPI
Abdiel Colberg, RDN, LND
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1780007534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1850
- Practice address
- 1718 Calle Santa Eduvigis
Urb Sagrado Corazon
San Juan, PR 00926 - Phone
- (787) 209-4440
- NPI assigned
- Jan 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1850 | PR | Primary |
| Registered Dietitian | 133V00000X | 1069633 | PR |
Addresses
Primary practice location
1718 Calle Santa Eduvigis
Urb Sagrado Corazon
San Juan, PR 00926
Mailing address
1718 Calle Santa Eduvigis
Urb Sagrado Corazon
San Juan, PR 00926
Phone (787) 209-4440
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1069633 | PR | MD | Registered Dietitian |
| 1850 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1780007534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 CALLE SANTA EDUVIGIS",
"address_2": "URB SAGRADO CORAZON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-209-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 CALLE SANTA EDUVIGIS",
"address_2": "URB SAGRADO CORAZON",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-209-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERG",
"first_name": "ABDIEL",
"credential": "RDN, LND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-30",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1850",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1069633",
"primary": false
}
],
"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 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.