Individual provider Active NPI

Yeiralis Perez Rios, MSW

  • Clinical Social Worker
  • Camuy, PR
National Provider Identifier
1023526605
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13907 Issued in PR
Practice address
PO Box 660
Camuy, PR 00627-0660
Phone
(787) 898-2660
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 13907 PR Primary

Addresses

Primary practice location

PO Box 660
Camuy, PR 00627-0660

Mailing address

HC 5 Box 92580
Arecibo, PR 00612-9552
Phone (787) 566-2428

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
I20241115003195 PR Practitioner - Clinical Social Worker 9436683232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camuy Health Services, Inc. Single Specialty CurrentSince Aug 29, 2024 Accepting new patients
Camuy Health Services, Inc. CurrentSince Aug 29, 2024 Accepting new patients

Locations

63 Ave Munoz Rivera E
Camuy, PR 00627
Phone (787) 262-6603

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJJIBD/Endpoint/EJJIBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1023526605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 92580",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129552",
            "telephone_number": "787-566-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270660",
            "telephone_number": "787-898-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RIOS",
        "first_name": "YEIRALIS",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.