Active NPI
Mayra Sofia Olivares, MS, RDN, LD
- Registered Dietitian
- Weslaco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT88674
- Practice address
- 1001 Rone Dr Ste 2
Weslaco, TX 78596-5043 - Phone
- (956) 600-3475
- NPI assigned
- Dec 4, 2023
- Last updated
- Jan 24, 2024
- 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 | DT88674 | TX | Primary |
Addresses
Primary practice location
1001 Rone Dr Ste 2
Weslaco, TX 78596-5043
Mailing address
401 S. 10TH St. Box 4605
Hidalgo, TX 78557
Phone (956) 340-9290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4001 S Sugar Rd
Suite B
Edinburg, TX 78539-4707
Phone (956) 603-1515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT88674 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAllen Hospitalist Group, PLLC | Current | Accepting new patients |
Locations
1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500
4001 S Sugar Rd
Ste B
Edinburg, TX 78539
Phone (956) 515-2233
Organizations & group practices 1
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.
-
dba Valley Care Clinics
- Internal Medicine Physician
- Edinburg, TX
- NPI 1356361976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1437926193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S. 10TH ST. BOX 4605",
"city": "HIDALGO",
"state": "TX",
"postal_code": "78557",
"telephone_number": "956-340-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 RONE DR STE 2",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965043",
"telephone_number": "956-600-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVARES",
"first_name": "MAYRA",
"middle_name": "SOFIA",
"name_prefix": "Miss",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT88674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
- Maria Joslyn Oakes, M.D.
- Alfonso Ochoa, M.D.
- Odp Management LLC (D'Oro Home Health Services)
- Odp Management, LLC (D'Oro Primary Home Care Services)
- Olga L Gomez MD PA Childrens Clinic
- Cindy Olvera
- Omar J Pena Lopez MD PA
- Jessica Ondoy, MS, FNP-BC, RN, CEN
- Optical Reflections PLLC
- Optimum Medical Service LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.