Active NPI
Rosario Pena Hamilton, MPH, RD, LD
- Registered Dietitian
- San Antonio, TX
National Provider Identifier
1992030571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT00004
- Practice address
- 7400 Merton Minter Blvd.
San Antonio, TX 78229-4404 - Phone
- (210) 617-5300
- Fax
- (210) 949-3299
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
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 | DT00004 | TX | Primary |
Addresses
Primary practice location
7400 Merton Minter Blvd.
San Antonio, TX 78229-4404
Mailing address
7400 Merton Minter Blvd.
San Antonio, TX 78229-4404
Phone (210) 617-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140079823 | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT00004 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1992030571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER BLVD.",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294404",
"telephone_number": "210-617-5300",
"fax_number": "210-949-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 MERTON MINTER BLVD.",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294404",
"telephone_number": "210-617-5300",
"fax_number": "210-949-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "ROSARIO",
"middle_name": "PENA",
"name_prefix": "Ms.",
"credential": "MPH, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT00004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140079823",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.