Individual provider Active NPI

Zuleika Perez Olivera, CLSW

  • Clinical Social Worker
  • Penuelas, PR
National Provider Identifier
1073162087
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14730 Issued in PR
Practice address
Barrio Rucio Carretera 391 KM 3.5
Penuelas, PR 00624
Phone
(787) 320-6483
NPI assigned
Sep 11, 2019
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 14730 PR Primary

Addresses

Primary practice location

Barrio Rucio Carretera 391 KM 3.5
Penuelas, PR 00624

Mailing address

HC 01 Box 9380
Penuelas, PR 00624
Phone (787) 320-6483

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804001539 PR Practitioner - Clinical Social Worker 2769851542 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14730PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital General de Castaner Inc. CurrentSince Apr 29, 2023 Accepting new patients
Hospital General de Castaner Inc CurrentSince Apr 29, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEGIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEGIBD/Endpoint/AEGIBD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1073162087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 01 BOX 9380",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-320-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO RUCIO CARRETERA 391 KM 3.5",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-320-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ OLIVERA",
        "first_name": "ZULEIKA",
        "name_prefix": "Ms.",
        "credential": "CLSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "14730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.