Active NPI
Jacelis Rosado, CLINICAL SOCIAL WORK
- Clinical Social Worker
- Bayamon, PR
National Provider Identifier
1093533994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15408
- Practice address
- Carr 2 KM 8.2 Assmca
Bo. Juan Sanchez
Bayamon, PR 00960 - Phone
- (787) 909-8086
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 15408 | PR | Primary |
Addresses
Primary practice location
Carr 2 KM 8.2 Assmca
Bo. Juan Sanchez
Bayamon, PR 00960
Mailing address
PO Box 1946
Las Piedras, PR 00771-1946
Phone (787) 909-8086
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 |
|---|---|---|---|
| 15408 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1093533994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1946",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007711946",
"telephone_number": "787-909-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 2 KM 8.2 ASSMCA",
"address_2": "BO. JUAN SANCHEZ",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-909-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "JACELIS",
"credential": "CLINICAL SOCIAL WORK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "15408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.