Individual provider Active NPI

Melba Rodriguez Ramos

  • Registered Dietitian
  • San Juan, PR
National Provider Identifier
1962774331
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
894 Issued in PR
Practice address
400 Ave FD Roosevelt Ste 206
Ave. Roosevelt # 400
San Juan, PR 00918-2129
Phone
(787) 764-8787
Fax
(787) 250-1029
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 894 PR
Registered Dietitian 133V00000X 894 PR Primary

Addresses

Primary practice location

400 Ave FD Roosevelt Ste 206
Ave. Roosevelt # 400
San Juan, PR 00918-2129

Mailing address

400 Ave FD Roosevelt Ste 206
Ave. Roosevelt # 400
San Juan, PR 00918-2129
Phone (787) 764-8787

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

LicenseStateTypeSpecialty
894PRMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Specialty, LLC PastSince Sep 1, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1962774331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 206",
            "address_2": "AVE. ROOSEVELT # 400",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182129",
            "telephone_number": "787-764-8787",
            "fax_number": "787-250-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 206",
            "address_2": "AVE. ROOSEVELT # 400",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182129",
            "telephone_number": "787-764-8787",
            "fax_number": "787-250-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ RAMOS",
        "first_name": "MELBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "894",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "894",
            "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 Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.