Active NPI
Maria Eugenia Rodriguez, MS, RD, CSR, LND
- Renal Nutrition Registered Dietitian
- Guaynabo, PR
National Provider Identifier
1942567680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 00941561
- Practice address
- C-6 Camino Alejandrino
Villa Clementina
Guaynabo, PR 00969 - Phone
- (787) 402-7304
- NPI assigned
- Apr 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1492 | PR | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 00941561 | PR | Primary |
Addresses
Primary practice location
C-6 Camino Alejandrino
Villa Clementina
Guaynabo, PR 00969
Mailing address
138 Ave Winston Churchill
PMB 523
San Juan, PR 00926-6013
Phone (787) 402-7304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130621000087 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 4688813769 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 -6 Munoz Rivera Ferrer St
Guaynabo, PR 00969
Phone (787) 402-7304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1492 | PR | MD | Psychologist |
| 00941561 | PR | MD | Renal Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Me Nutrition Services PSC | Nutrition, Renal | Current | Accepting new patients |
| Centro de Bienestar Para la Mujer LLC | Past | Accepting new patients | |
| Smarter Eating, Inc | Dietitian, Registered | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Renal Nutrition Registered Dietitian
- Guaynabo, PR
- NPI 1285024018
Nutrition, Renal, PR
-
- Obstetrics & Gynecology Physician
- Guaynabo, PR
- NPI 1942812904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1942567680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 AVE WINSTON CHURCHILL",
"address_2": "PMB 523",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266013",
"telephone_number": "787-402-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C-6 CAMINO ALEJANDRINO",
"address_2": "VILLA CLEMENTINA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-402-7304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARIA",
"middle_name": "EUGENIA",
"credential": "MS, RD, CSR, LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1492",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "PR",
"license": "00941561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.