Active NPI
Elizabeth Rodriguez
- Social Worker
- Toa Alta, PR
National Provider Identifier
1053045559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10308
- Practice address
- Urb. Colinas de Plata
Calle Camino del Monte #13
Toa Alta, PR 00953 - Phone
- (939) 639-5023
- NPI assigned
- Jul 12, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10308 | PR | Primary |
Addresses
Primary practice location
Urb. Colinas de Plata
Calle Camino del Monte #13
Toa Alta, PR 00953
Mailing address
Urb. Colinas de Plata
Calle Camino del Monte #13
Toa Alta, PR 00953
Phone (939) 639-5023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10308 | Medicaid | PR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10308 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1053045559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. COLINAS DE PLATA",
"address_2": "CALLE CAMINO DEL MONTE #13",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "939-639-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. COLINAS DE PLATA",
"address_2": "CALLE CAMINO DEL MONTE #13",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "939-639-5023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "PR",
"license": "10308",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10308",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.