Individual provider Active NPI

Jahaira Mangual, MSW

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1063822120
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11634 Issued in PR
Practice address
431 Ave Hostos
San Juan, PR 00918-3014
Phone
(787) 753-9515
Fax
(787) 767-1839
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 11634 PR Primary

Addresses

Primary practice location

431 Ave Hostos
San Juan, PR 00918-3014

Mailing address

RR 4 Box 7646
Cidra, PR 00739-9103
Phone (787) 224-3666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Mar 1, 2020 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Mar 1, 2020 Accepting new patients

Locations

431 Ave Hostos
San Juan, PR 00918
Phone 7877040705 ext. 347

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1063822120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 7646",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399103",
            "telephone_number": "787-224-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183014",
            "telephone_number": "787-753-9515",
            "fax_number": "787-767-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUAL",
        "first_name": "JAHAIRA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.