Lydmarie Oliveras Hernandez, LND

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1973 Issued in PR

Practice address

B11 Calle Santa Cruz
Bayamon, PR 00961-6902

Phone

(787) 314-6825

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Asociacion de Medicos de Puerto Rico Ms Inc

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1659009298

  Nutritionist

  NPD (past)
• Asociacion de Medicos de Puerto Rico Ms Inc

  • Health Maintenance Organization
  • Bayamon, PR
  • NPI 1891310843
  NPD (past)

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1245793769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2218",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006942218",
            "telephone_number": "787-532-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B11 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-314-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERAS HERNANDEZ",
        "first_name": "LYDMARIE",
        "name_prefix": "Mrs.",
        "credential": "LND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "5260",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5260",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keishla Ojeda Mojica
• Roberta Marie Ojeda
• Alicia Olave-Pichon, MD, MPH
• Marieliz Nicole Olivencia
• Nicole Marie Oliveras Gonzalez, M.S. SLP
• Angela Maria Oliveras Lorenzo
• Ivelisse Oliveras, OD
• Rosa Oliveras
• David Robles Olivero, RN, BSN
• On Time Medical Equipment

• Registered Dietitian in Bayamon, PR
• Providers in Bayamon, 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 Aug 19, 2019; 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.

Verify at the official NPI Registry.