Active NPI
Michael Rosario Viera
- Clinical Social Worker
- Aguadilla, PR
National Provider Identifier
1053199455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11363
- Practice address
- Carr 2 Avenida Severiano Cuevas 18
Bo Caimital Bajo
Aguadilla, PR 00603 - Phone
- (787) 658-0009
- Fax
- (787) 658-0640
- NPI assigned
- Sep 18, 2023
- Sex
- Male
- 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 | 11363 | PR | Primary |
Addresses
Primary practice location
Carr 2 Avenida Severiano Cuevas 18
Bo Caimital Bajo
Aguadilla, PR 00603
Mailing address
PO Box 4055
Aguadilla, PR 00605-4055
Phone (787) 658-0009
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 |
|---|---|---|---|
| 11363 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1053199455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4055",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "006054055",
"telephone_number": "787-658-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 2 AVENIDA SEVERIANO CUEVAS 18",
"address_2": "BO CAIMITAL BAJO",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-658-0009",
"fax_number": "787-658-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO VIERA",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "11363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.