Individual provider Active NPI

Juan E Chinea II, M.S.W

  • Clinical Social Worker
  • Levittown, PR
National Provider Identifier
1033410600
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9840 Issued in PR
Practice address
Minerva SB15
Urb. Levittville
Levittown, PR 00949-0000
Phone
(178) 784-6666
NPI assigned
Nov 12, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 9840 PR Primary

Addresses

Primary practice location

Minerva SB15
Urb. Levittville
Levittown, PR 00949-0000

Mailing address

Minerva SB15
Urb. Levittville
Levittown, PR 00949-0000
Phone (178) 784-6666

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
9840PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1033410600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MINERVA SB15",
            "address_2": "URB. LEVITTVILLE",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "009490000",
            "telephone_number": "178-784-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MINERVA SB15",
            "address_2": "URB. LEVITTVILLE",
            "city": "LEVITTOWN",
            "state": "PR",
            "postal_code": "009490000",
            "telephone_number": "178-784-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINEA",
        "first_name": "JUAN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-12",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.