Michelle Marie Colon Rivera, RDN, LND

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86054756 Issued in PR

Practice address

Calle San Inocencio Rey #38, Las Granjas
Vega Baja, PR 00693-0069

Phone

(787) 962-7648

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Morovis Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Morovis, PR
  • NPI 1417969411
  Medicare reassignment NPD
• Morovis Community Health Center, Inc.

  • Radiology Clinic/Center
  • Morovis, PR
  • NPI 1700088861
  NPD

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1952982902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 19279",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006939884",
            "telephone_number": "787-962-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SAN INOCENCIO REY #38, LAS GRANJAS",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930069",
            "telephone_number": "787-962-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON RIVERA",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "86054756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Y Laboratorio Dental Bruno & Assoc.
• Reineria Collazo Vega, R.PH
• Marangelin Collazo
• Zidnia Marie Colon Blanco, M.D.
• Minerliz Colon Melendez, MS, PHL
• Divya Christine Colon-Alcaraz, DMD
• Consultorio Fisioterapia Dra. Cintron, Inc.
• Ida Regina Cordero, M.D.
• Lynnet Eve Cordero, PA
• Nina Carola Cordero, DMD

• Registered Dietitian in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Registered Dietitian in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.

Verify at the official NPI Registry.