Active NPIIndividual providerSole proprietor

Lidiette M Rodriguez, RDN

Dietitian, Registered in Manati, Puerto Rico

NPI Number1104638097
Practice location
2 Calle Bella Vista, Manati, PR 00674
Fax
—
Last updated
January 27, 2025

Lidiette Marie Rodriguez is a Dietitian, Registered based in Manati, PR. Lidiette Marie Rodriguez practices in Manati, PR and has the professional credentials of RDN. The NPI Number for Lidiette Marie Rodriguez is 1104638097 and holds a License No. 1890 (PR). The current practice location address for Lidiette Marie Rodriguez is 2 Calle Bella Vista, Manati, PR 00674 and can be reached out via phone at 787-390-0487.

Provider Profile Details

NPI Number
1104638097
Provider Name
Lidiette Marie Rodriguez
Credential
RDN
Provider Entity Type
Individual
Gender
Female
Address
2 Calle Bella Vista, Manati, PR 00674
Phone Number
787-390-0487
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2025
Last Update Date
January 27, 2025
Certification Date
January 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Calle Bella Vista
Manati, PR 00674
City
Manati
Zip
00674
Phone Number
787-390-0487
Manati, PR 00674Get directions →

Provider Business Mailing Address Details

Address
Hc 74 Box 6669
Cayey, PR 00736-9111
City
Cayey
State
PR
Zip
00736-9111
Phone Number
787-390-0487

License Information

License Number
1890
License State
PR
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lidiette M Rodriguez, RDN?

The NPI number of Lidiette M Rodriguez, RDN is 1104638097. It was assigned on January 27, 2025 and is currently active in the NPPES registry.

What is the specialty of Lidiette M Rodriguez, RDN?

Lidiette M Rodriguez, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PR under license number 1890.

Where does Lidiette M Rodriguez, RDN practice?

The practice location is 2 Calle Bella Vista, Manati, PR 00674. The office can be reached at 787-390-0487 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104638097 directly on the NPPES registry website.

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