Active NPI
Sheyla Dominguez Ramos III, LND
- Registered Dietitian
National Provider Identifier
1053850651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1579
- Practice address
- Calle San Joaquin ZZ 19 Mariolga
Caguas, PUERTO RICO 00725
UM - Phone
- (787) 450-6859
- NPI assigned
- Feb 15, 2017
- Last updated
- Feb 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1579 | PR | Primary |
Addresses
Primary practice location
Calle San Joaquin ZZ 19 Mariolga
Caguas, PUERTO RICO 00725
UM
Mailing address
Calle San Joaquin ZZ19 Mariolga
Caguas, PUERTO RICO 00725
UM
Phone (787) 450-6859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191023000944 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 7315279460 | Practice locations: Gurabo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avivir LLC | Dietitian, Registered | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1053850651",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CALLE SAN JOAQUIN ZZ19 MARIOLGA",
"city": "CAGUAS",
"state": "PUERTO RICO",
"postal_code": "00725",
"telephone_number": "787-450-6859"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "CALLE SAN JOAQUIN ZZ 19 MARIOLGA",
"city": "CAGUAS",
"state": "PUERTO RICO",
"postal_code": "00725",
"telephone_number": "787-450-6859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ RAMOS",
"first_name": "SHEYLA",
"name_prefix": "Miss",
"name_suffix": "III",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "1579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.