Active NPI
Mayra Lizette Ramirez, LND
- Nutritionist
- Carolina, PR
National Provider Identifier
1770623795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1463
- Practice address
- Ave. Campo Rico a-6 Castellana Gardens
Carolina, PR 00983 - Phone
- (787) 752-7897
- Fax
- (787) 768-0689
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1463 | PR | Primary |
Addresses
Primary practice location
Ave. Campo Rico a-6 Castellana Gardens
Carolina, PR 00983
Mailing address
578 Calle Caney
Toa Alta, PR 00953-3854
Phone (787) 501-5252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070330000367 | PR | Practitioner - Registered Dietitian Or Nutrition Professional | 5395849350 | Practice locations: Carolina, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1463 | PR | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Policlinica Dr. Luis Rodriguez Carrasquillo, PSC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Carolina, PR
- NPI 1346570207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1770623795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 CALLE CANEY",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009533854",
"telephone_number": "787-501-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. CAMPO RICO A-6 CASTELLANA GARDENS",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-752-7897",
"fax_number": "787-768-0689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "MAYRA",
"middle_name": "LIZETTE",
"name_prefix": "Miss",
"credential": "LND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PR",
"license": "1463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.