Mariely Olivero, LND, MHSN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

1486 Issued in PR

Practice address

4NN4 Via Georgina
Carolina, PR 00983-4746

Phone

(787) 603-9706

NPI assigned

Jan 3, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mog Nutricion Clinica LLC

  • Nutritionist
  • Carolina, PR
  • NPI 1174443600
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1770768186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CALLE FLORIDIANO APT 2205",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877708",
            "telephone_number": "787-603-9706",
            "fax_number": "787-750-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4NN4 VIA GEORGINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009834746",
            "telephone_number": "787-603-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERO",
        "first_name": "MARIELY",
        "name_prefix": "Mrs.",
        "credential": "LND, MHSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ojos de Puerto Rico, Inc CSP
• Maritere Olascoaga-Torres, MD
• Alexandra Marie Olivencia Torres
• Lynette I Oliver, MD
• Juan Andres Olivero, MSW
• Carolina Olson
• Oneheart, LLC
• Crystal Angelica Oneill Arroyo, PHARMD
• Onestopprescriptionislaverde
• Optica LM LLC

• Nutritionist in Carolina, PR
• Providers in Carolina, PR by specialty
• Nutritionist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.