Individual provider Active NPI

Saimyliz Rivera Cordero, RDN, LND

  • Registered Dietitian
  • Cidra, PR
National Provider Identifier
1548856776
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86150603 Issued in PR
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
86150603PRMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Armonia En Tu Plato LLC Nutritionist CurrentSince Oct 13, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.