Individual provider Active NPI

Nydia Ruiz Jusino, MSW

  • Clinical Social Worker
  • Ponce, PR
National Provider Identifier
1003915653
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7618 Issued in PR
Practice address
Urbanizacion Santa Maria Shopping Center Oficina #234
Community Cornerstone of Puerto Rico
Ponce, PR 00737
Phone
(787) 651-0030
Fax
(787) 651-0033
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7618 PR Primary

Addresses

Primary practice location

Urbanizacion Santa Maria Shopping Center Oficina #234
Community Cornerstone of Puerto Rico
Ponce, PR 00737

Mailing address

Calle Alda # 1549
Urb Arizacoon Caribe
Rio Piedras, PR 00926
Phone (787) 622-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111201000524 PR Practitioner - Clinical Social Worker 8022191071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Sep 25, 2020 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Sep 25, 2020 Accepting new patients
Inspira Mental Health Management PastSince Sep 25, 2020 Accepting new patients
First Hosptial Panamericano Past Accepting new patients
Community Cornerstones Inc Past Accepting new patients
Community Cornerstones Inc Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1003915653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ALDA # 1549",
            "address_2": "URB ARIZACOON CARIBE",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-622-9797",
            "fax_number": "787-622-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION SANTA MARIA SHOPPING CENTER OFICINA #234",
            "address_2": "COMMUNITY CORNERSTONE OF PUERTO RICO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-651-0030",
            "fax_number": "787-651-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ JUSINO",
        "first_name": "NYDIA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "7618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.