Yaritza Cardona, SOCIAL WORK – Social Worker

Key facts

NPI: 1124578554
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 10906 (PR)
Practice address: 99 Calle Guillermo Riefkkohl
Patillas, PR 00723
Phone: (787) 839-4320
Fax: (787) 861-4320
NPI assigned: Oct 10, 2016
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
10906	PR	MD	Social Worker

Interoperability endpoints

Direct secure messaging: yaritza.cardona@cspsp.directbygreenway.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Social Worker	104100000X	10906	PR	Yes

Addresses

Primary practice location

99 Calle Guillermo Riefkkohl
Patillas, PR 00723

Mailing address

99 Calle Guillermo Riefkkohl
Patillas, PR 00723
Phone (787) 839-4320

Other identifiers

Identifier	Type	State	Issuer
10906	Other	PR	SOCIAL WORK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 10, 2016.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1124578554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKKOHL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-861-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CALLE GUILLERMO RIEFKKOHL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-4320",
            "fax_number": "787-861-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "YARITZA",
        "credential": "SOCIAL WORK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "10906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "10906",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patillas, PR

Bright Health PR LLC
Yuliana Burgos Rivera
Egsa Camacho
Nolia Camacho
Catherine Candelario, PSYCHOLOGIST
Caribbean Paradise Convalescent and Skilled Care. Inc.
Caribe Smiles LLC
Marisa Carrasquillo, RPH
Casce, LLC
Nydia Margarita Casiano, NUTRITION

All providers in Patillas, PR · Social Worker in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.