Active NPI
Mariela Del Carmen Rodriguez, LND, RD
- Registered Dietitian
- San Juan, PR
National Provider Identifier
1780856542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1191
- Practice address
- 425 Ave Luis Munoz Rivera
San Juan, PR 00918-3112 - Phone
- (787) 448-4640
- NPI assigned
- Apr 1, 2008
- 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 | 1191 | PR | Primary |
Addresses
Primary practice location
425 Ave Luis Munoz Rivera
San Juan, PR 00918-3112
Mailing address
1306 Ave Monte Carlo Apt 236
San Juan, PR 00924-5737
Phone (787) 452-3150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vita Care,LLC | Current | Accepting new patients |
Interoperability endpoints
- mariela.rodriguezmaldonado.p1@direct.vitacare.nextgenshare.com
- joangelys.guitierrezfernandez.p1@direct.vitacare.nextgenshare.com
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- San Juan, PR
- NPI 1437693017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1780856542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 AVE MONTE CARLO APT 236",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009245737",
"telephone_number": "787-452-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 AVE LUIS MUNOZ RIVERA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183112",
"telephone_number": "787-448-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARIELA",
"middle_name": "DEL CARMEN",
"credential": "LND, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1191",
"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 Sep 3, 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.