Active NPI
Mayra Agosto Ortega, LCSW
- Clinical Social Worker
- Guaynabo, PR
National Provider Identifier
1003512617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15001
- Practice address
- Centro Internacional de Mercadeo Torre 1 Suite 401
Guaynabo, PR 00965 - Phone
- (787) 340-6455
- NPI assigned
- Feb 6, 2023
- Last updated
- Aug 24, 2026
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15001 | PR | Primary |
Addresses
Primary practice location
Centro Internacional de Mercadeo Torre 1 Suite 401
Guaynabo, PR 00965
Mailing address
421 Calle Rivadavia Valencia
San Juan, PR 00923
Phone (787) 340-6455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15001 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1003512617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 CALLE RIVADAVIA VALENCIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00923",
"telephone_number": "787-340-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO INTERNACIONAL DE MERCADEO TORRE 1 SUITE 401",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00965",
"telephone_number": "787-340-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGOSTO ORTEGA",
"first_name": "MAYRA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "15001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.