Active NPI
Jennifer Rosario
- Clinical Social Worker
- San Juan, PR
National Provider Identifier
1124558739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11841
- Practice address
- Calle Maga Monacillos
Barrio Monacillos
San Juan, PR 00907 - Phone
- (787) 766-4646
- NPI assigned
- Jun 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 11841 | PR | Primary |
Addresses
Primary practice location
Calle Maga Monacillos
Barrio Monacillos
San Juan, PR 00907
Mailing address
HC 5 Box 6725
Aguas Buenas, PR 00703-9088
Phone (787) 766-4646
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 |
|---|---|---|---|
| 11841 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124558739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 5 BOX 6725",
"city": "AGUAS BUENAS",
"state": "PR",
"postal_code": "007039088",
"telephone_number": "787-766-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MAGA MONACILLOS",
"address_2": "BARRIO MONACILLOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-766-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "11841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.