Individual provider Active NPI

Melvin Rosa

  • Nutritionist
  • Guerabo, PR
National Provider Identifier
1912645953
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2038 Issued in PR
Practice address
Carr 941, Jagua Calle
Guerabo, PR 00778
Phone
(787) 737-2311
NPI assigned
May 20, 2022
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 2038 PR Primary

Addresses

Primary practice location

Carr 941, Jagua Calle
Guerabo, PR 00778

Mailing address

Condominio San Mateo Plaza 1626
Apt 803
San Juan, PR 00912
Phone (787) 557-8096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120002642 PR Practitioner - Registered Dietitian Or Nutrition Professional 4385015734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

Urb Lago Alto
Calle Carite 130
Trujillo Alto, PR 00976-6007
Phone 78773723112058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2038PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Neomed Center, Inc. CurrentSince Oct 14, 2022 Accepting new patients
Neomed Center, Inc Current Accepting new patients
Neomed Center, Inc Single Specialty CurrentSince Oct 14, 2022 Accepting new patients

Locations

11 Calle Condado
San Lorenzo, PR 00754
Phone (787) 715-1260

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1912645953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO SAN MATEO PLAZA 1626",
            "address_2": "APT 803",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-557-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 941, JAGUA CALLE",
            "city": "GUERABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "MELVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2026-09-29",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.