Nutritional Impact by Lyzmar Cordero PSC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

1634 Issued in PR

Legal business name

NUTRITIONAL IMPACT BY LYZMAR CORDERO PSC

Practice address

201 Calle Tetuan # 8
Old San Juan
San Juan, PR 00901-1816

Phone

(787) 410-3947

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lyzmar Cordero, LNDNPI 1902210966

Title

Nutritionist and Dietitian

Phone

(787) 410-3947

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyzmar Cordero, LND

  • Registered Dietitian
  • San Juan, PR
  • NPI 1902210966
  NPD (past) Authorized official

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1265848139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE TETUAN # 8",
            "address_2": "OLD SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011816",
            "telephone_number": "787-410-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CALLE TETUAN # 8",
            "address_2": "OLD SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011816",
            "telephone_number": "787-410-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONAL IMPACT BY LYZMAR CORDERO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "LYZMAR",
        "authorized_official_title_or_position": "NUTRITIONIST AND DIETITIAN",
        "authorized_official_telephone_number": "787-410-3947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nursing Service & Global Health
• Nutriendo PR, Inc
• Nutriti0N for You LLC
• Nutrition Care, Inc.
• Nutrition Lab LLC
• Nutrix Inc
• Nuvasive PR, Inc.
• Nyx, Inc
• O L a S P.S.C.
• O.S. Audiology Services, Inc.

• Health Service Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.