Individual provider Active NPI

Jesus I Cruz Ramos, MSW

  • Clinical Social Worker
  • San Sebastian, PR
National Provider Identifier
1114266566
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11464 Issued in PR
Practice address
Carretera 433 KM 0.5
Barrio Mirabales
San Sebastian, PR 00685-1478
Phone
(787) 362-6517
Fax
(787) 551-7066
NPI assigned
Feb 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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 11464 PR Primary

Addresses

Primary practice location

Carretera 433 KM 0.5
Barrio Mirabales
San Sebastian, PR 00685-1478

Mailing address

Carretera 433 KM 0.5
Bo Mirabales
San Sebastian, PR 00685-1478
Phone (787) 362-6517

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1114266566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARRETERA 433 KM 0.5",
            "address_2": "BO MIRABALES",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851478",
            "telephone_number": "787-362-6517",
            "fax_number": "787-551-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 433 KM 0.5",
            "address_2": "BARRIO MIRABALES",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006851478",
            "telephone_number": "787-362-6517",
            "fax_number": "787-551-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ RAMOS",
        "first_name": "JESUS",
        "middle_name": "I",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.