Lissette Josephine Rivera-Jorge, RD, LD/N

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

ND3813 Issued in FL

Practice address

4441 SW 160 Court
Miami, FL 33185-4938

Phone

(305) 226-3081

Fax

(305) 226-1631

NPI assigned

Jun 15, 2011

Last updated

Jun 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1912292236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 SW 160 COURT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854938",
            "telephone_number": "305-226-3081",
            "fax_number": "305-226-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 SW 160 COURT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854938",
            "telephone_number": "305-226-3081",
            "fax_number": "305-226-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-JORGE",
        "first_name": "LISSETTE",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "credential": "RD, LD/N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "ND 3813",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 3813",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "FL",
            "license": "ND3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grichelle K. Rivera Yee, CRNA
• Yolanda M Rivera-Caudill, MD
• Graciella Rivera-Guzman, PA
• Laura Elena Rivera-Jimenez
• Chris Rivera-Jinez
• Sandra Rivera-Luciano, M.D
• Ramon Rivera-Morales, M.D.
• Alfred H Rivera, MD
• Amanda Rivera, M.D.
• Amanda Marie Rivera, MSW

• Renal Nutrition Registered Dietitian in Miami, FL
• Providers in Miami, FL by specialty
• Renal Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.