Vanessa Marie Maldonado Colon, MPHGero, LND
Dietitian, Registered in San Juan, PR. Individual provider (NPI-1).
NPI number1245043363
StatusActive
Last updated in NPPESJan 31, 2025
Details
- NPI
- 1245043363
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Marie Maldonado Colon
- Credential
- MPHGero, LND
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2025
- Certification date
- Jan 28, 2025
- Last updated
- Jan 31, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2066 | PR | Yes |
Practice location
Villas De San Francisco Plaza Ll87 Ave. De Diego Suite 211
San Juan, PR 00928-0092
Phone 787-672-1657
Mailing address
Villas De San Francisco Plaza II87 Ave. De Diego Suite 211
San Juan, PR 00928
Phone 787-672-1657
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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