Individual provider Active NPI

Lisandra Pina Alvarez, LND, RD,

  • Registered Dietitian
  • Dorado, PR
National Provider Identifier
1568648012
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1117 Issued in PR
Practice address
233 Calle Carmo
Urb. Paseo del Sol
Dorado, PR 00646-4669
Phone
(787) 278-1738
NPI assigned
Jan 15, 2008
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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 1117 PR Primary

Addresses

Primary practice location

233 Calle Carmo
Urb. Paseo del Sol
Dorado, PR 00646-4669

Mailing address

233 Calle Carmo
Urb. Paseo del Sol
Dorado, PR 00646-4669
Phone (787) 278-1738

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000477 PR Practitioner - Registered Dietitian Or Nutrition Professional 1759437916 Practice locations: Dorado, PR; Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Calle Hernandez Carrion Ofic
Manati, PR 00674
Phone (787) 908-3481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1117PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Alberto Zamot Carmona, P.S.C. PastSince Aug 20, 2017 Accepting new patients
Montalvan Miro Dermatology, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lpinaalvarez@2621.securemail.prognocis.com

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, 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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1568648012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CALLE CARMO",
            "address_2": "URB. PASEO DEL SOL",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464669",
            "telephone_number": "787-278-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CALLE CARMO",
            "address_2": "URB. PASEO DEL SOL",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464669",
            "telephone_number": "787-278-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINA ALVAREZ",
        "first_name": "LISANDRA",
        "name_prefix": "Ms.",
        "credential": "LND, RD,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PR",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.

Verify at the official NPI Registry.