Individual provider Active NPI

Yarelis Pizarro, LND

  • Nutritionist
  • Las Piedras, PR
National Provider Identifier
1962944496
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
2000 Issued in PR
Practice address
R921 Carr 198
K0 Sabana
Las Piedras, PR 00771
Phone
(787) 310-6114
NPI assigned
Nov 15, 2016
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 2000 PR Primary

Addresses

Primary practice location

R921 Carr 198
K0 Sabana
Las Piedras, PR 00771

Mailing address

PO Box 463
Las Piedras, PR 00771-0463
Phone (787) 310-6114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620000395 PR Practitioner - Registered Dietitian Or Nutrition Professional 4385155126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince May 22, 2025 Accepting new patients
Cossma Inc CurrentSince May 22, 2025 Accepting new patients

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1962944496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710463",
            "telephone_number": "787-310-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "R921 CARR 198",
            "address_2": "K0 SABANA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-310-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZARRO",
        "first_name": "YARELIS",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.