Individual provider Active NPI

Yomari Denisse Cruz Pellot, SOCIAL CLINIC WORK

  • Clinical Social Worker
  • Yauco, PR
National Provider Identifier
1114442134
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13758 Issued in PR
Practice address
35 Calle 25 de Julio
Yauco, PR 00698-3605
Phone
(939) 270-0277
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 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 13758 PR Primary

Addresses

Primary practice location

35 Calle 25 de Julio
Yauco, PR 00698-3605

Mailing address

1531 Urb la Alborada
Cabo Rojo, PR 00623-4448
Phone (939) 270-0277

Other practice location 1

311 Calle Colon
Aguada, PR 00602-2922
Phone (939) 270-0277

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
I20190506000191 PR Practitioner - Clinical Social Worker 5193067569 Reassigns benefits to 1 organization
Practice locations: Yauco, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp CurrentSince Aug 7, 2021 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Aug 7, 2021 Accepting new patients
Inspira Behavioral Care Corp. Current Accepting new patients
Centro Servicios Primarios de Salud de Patillas Inc. Past Accepting new patients

Locations

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

Organizations & group practices 4

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1114442134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 URB LA ALBORADA",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006234448",
            "telephone_number": "939-270-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE 25 DE JULIO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983605",
            "telephone_number": "939-270-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Calle Colon",
            "address_purpose": "LOCATION",
            "city": "Aguada",
            "state": "PR",
            "postal_code": "006022922",
            "country_code": "US",
            "telephone_number": "939-270-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ PELLOT",
        "first_name": "YOMARI",
        "middle_name": "DENISSE",
        "credential": "SOCIAL CLINIC WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.