Active NPI
Carolyne Yaret Romero Rodriguez, RDN,LND,MHSN
- Registered Dietitian
- Isabela, PR
National Provider Identifier
1376311811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2214
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Point Healthcare LLC | Dietitian, Registered | Current | Accepting new patients |
| Anthony J Martino SC | Current | 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.
-
dba NorthPark Medical Group
- Internal Medicine Physician
- Melrose Park, IL
- NPI 1770617862
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.