Individual provider Active NPI

Carolyne Yaret Romero Rodriguez, RDN,LND,MHSN

  • Registered Dietitian
  • Isabela, PR
National Provider Identifier
1376311811
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2214 Issued in PR
Practice address
Avenida Jobos Carr 459 KM 11.4
Edificio Plaza del Mar
Isabela, PR 00662
Phone
(787) 473-9314
NPI assigned
Dec 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2214 PR Primary

Addresses

Primary practice location

Avenida Jobos Carr 459 KM 11.4
Edificio Plaza del Mar
Isabela, PR 00662

Mailing address

320 Urb Bosque de Los Pinos Calle Palustris
Bayamon, PR 00956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528001139 IL Practitioner - Registered Dietitian Or Nutrition Professional 7810339538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Three Point Healthcare LLC Dietitian, Registered CurrentSince Apr 10, 2024 Accepting new patients
Anthony J Martino SC CurrentSince Apr 10, 2024 Accepting new patients

Locations

2225 W North Ave
Ste I
Melrose Park, IL 60160
Phone (708) 345-8255

19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1376311811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 URB BOSQUE DE LOS PINOS CALLE PALUSTRIS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA JOBOS CARR 459 KM 11.4",
            "address_2": "EDIFICIO PLAZA DEL MAR",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "787-473-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO RODRIGUEZ",
        "first_name": "CAROLYNE",
        "middle_name": "YARET",
        "credential": "RDN,LND,MHSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.