Individual provider Active NPI

Geormay Perez, LCSW

  • Clinical Social Worker
  • San Antonio, PR
National Provider Identifier
1043990377
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16266 Issued in PR
Practice address
Urb Brisas de Campo Alegre
96 Calle Ambar
San Antonio, PR 00690
Phone
(787) 662-4802
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 16266 PR Primary

Addresses

Primary practice location

Urb Brisas de Campo Alegre
96 Calle Ambar
San Antonio, PR 00690

Mailing address

Urb Brisas de Campo Alegre
96 Calle Ambar
San Antonio, PR 00690
Phone (787) 662-4802

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

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1043990377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BRISAS DE CAMPO ALEGRE",
            "address_2": "96 CALLE AMBAR",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "00690",
            "telephone_number": "787-662-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB BRISAS DE CAMPO ALEGRE",
            "address_2": "96 CALLE AMBAR",
            "city": "SAN ANTONIO",
            "state": "PR",
            "postal_code": "00690",
            "telephone_number": "787-662-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "GEORMAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.