Omayra Jimenez Barreto, LND

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1242 Issued in PR

Practice address

JR1 Calle Lizzie Graham
Levittown 7Ma Sec
Toa Baja, PR 00949-3637

Phone

(787) 261-1169

NPI assigned

Sep 14, 2010

Last updated

Sep 14, 2010By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vincente Calderon Rodriguez

  dba Laboratorio Clinico Valparaiso

  • Clinical Medical Laboratory
  • Toa Baja, PR
  • NPI 1336223189
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1194033001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6157",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009146157",
            "telephone_number": "787-261-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JR1 CALLE LIZZIE GRAHAM",
            "address_2": "LEVITTOWN 7MA SEC",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493637",
            "telephone_number": "787-261-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ BARRETO",
        "first_name": "OMAYRA",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasaes Medical Diagnostic
• Walter Javier, D.M.D.
• JC Fast Clinic LLC
• JC Physiatry LLC
• Jenny Rivera Farmacia Lesmarie (Farmacia Lesmarie)
• Yodali Jimenez Fuentes, LND
• Jose Victor Jimenez, MSW
• JLM Medcorp.Service,Psa (N/a)
• JM Ortiz Ambulance Corp
• Joseph Negron Caban

• Registered Dietitian in Toa Baja, PR
• Providers in Toa 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 Sep 14, 2010; 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.