Active NPI
Saimyliz Rivera Cordero, RDN, LND
- Registered Dietitian
- Cidra, PR
National Provider Identifier
1548856776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86150603
- Practice address
- Carr 173 KM 6.5 Local B
Bo Rabanal
Cidra, PR 00739 - Phone
- (787) 322-8561
- NPI assigned
- Dec 11, 2020
- Last updated
- Oct 9, 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 | 86150603 | PR | Primary |
Addresses
Primary practice location
Carr 173 KM 6.5 Local B
Bo Rabanal
Cidra, PR 00739
Mailing address
29 Calle Castaner
Hacienda Isabel
Santa Isabel, PR 00757-3008
Phone (787) 322-8561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210119000443 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 8527471234 | Practice locations: Cidra, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86150603 | PR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armonia En Tu Plato LLC | Nutritionist | Current | Accepting new patients |
Interoperability endpoints
- saimyliz.riveracordero.p1@direct.vitacare.nextgenshare.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1548856776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CALLE CASTANER",
"address_2": "HACIENDA ISABEL",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007573008",
"telephone_number": "787-322-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 173 KM 6.5 LOCAL B",
"address_2": "BO RABANAL",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-322-8561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA CORDERO",
"first_name": "SAIMYLIZ",
"credential": "RDN, LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2024-10-09",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PR",
"license": "86150603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.