Active NPI
Sahira M Medina Lopez, MSW
- Clinical Social Worker
- San Juan, PR
National Provider Identifier
1033939707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16259
- Practice address
- 431 Ave Hostos San Juan
San Juan, PR 00918-3014 - Phone
- (787) 704-0705
- Fax
- (787) 744-4444
- NPI assigned
- Oct 16, 2024
- 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 | 16259 | PR | Primary |
Addresses
Primary practice location
431 Ave Hostos San Juan
San Juan, PR 00918-3014
Mailing address
PO Box 9809
Caguas, PR 00726-9809
Phone (787) 704-0705
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251212000685 | PR | Practitioner - Clinical Social Worker | 0042704405 | Practice locations: Barceloneta, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
32 Calle Ceramica
Las Piedras, PR 00771
Carr 140 KM 62 Int
Unidad 6 Bo. Magueyes
Barceloneta, PR 00617-2756
Phone (787) 322-1980
HC 1 Box
Suite 5025
Sabana Hoyos, PR 00688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16259 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1033939707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9809",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007269809",
"telephone_number": "787-704-0705",
"fax_number": "787-744-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 AVE HOSTOS SAN JUAN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183014",
"telephone_number": "787-704-0705",
"fax_number": "787-744-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA LOPEZ",
"first_name": "SAHIRA",
"middle_name": "M",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "16259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Nicolle Medina Cintron
- Fabiola R Medina Gonzalez, PHARMD
- Maria Esther Medina Gonzalez
- Yailis M Medina Gonzalez, MD
- Casandra Medina Jimenez, M.D.
- Sofia Medina Oliveras, M.D.
- Gabriel Sebastian Medina Ortiz, STUDENT
- Eduardo J Medina Parrilla, MD
- Mariola B Medina Rodriguez
- Yashira Anais Medina Roman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.