Individual provider Active NPI

Carmen Rivera

  • Clinical Social Worker
  • Santa Isabel, PR
National Provider Identifier
1033342001
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5829 Issued in PR
Practice address
Ave. Luis Munoz Rivera 91 Altos
Santa Isabel, PR 00757-0057
Phone
(787) 845-1188
Fax
(787) 845-1188
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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 5829 PR Primary

Addresses

Primary practice location

Ave. Luis Munoz Rivera 91 Altos
Santa Isabel, PR 00757-0057

Mailing address

Estancias de Juana Diaz Calle Cipres 116
Juana Diaz, PR 00795-2825
Phone (787) 260-0091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5829PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medic Coordination Past Accepting new patients
Clinica de Salud Familiar Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1033342001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DE JUANA DIAZ CALLE CIPRES 116",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952825",
            "telephone_number": "787-260-0091",
            "fax_number": "787-845-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LUIS MUNOZ RIVERA 91 ALTOS",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570057",
            "telephone_number": "787-845-1188",
            "fax_number": "787-845-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "5829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.