Brunilda Annette Altieri Mercado
Individual provider Active NPI Clinical Social Worker · Mayaguez, PR
NPI 1124726096 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1124726096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 15863 (PR)
- Practice address
- Mayaguez Medical Center
Carretera 2 Km157 Sabalos
Mayaguez, PR 00680-0068 - Phone
- (787) 833-0663
- NPI assigned
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
22 Camino Mortero
Rincon, PR 00677
PO Box
Rincon, PR 00677
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260225001998 | PR | Practitioner - Clinical Social Worker | 7113408436 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15863 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Costa Salud Community Health Centers, Inc | Current |
Accepting new patients | |
| Costa Salud Community Health Centers, Inc. | Current |
Accepting new patients |
Locations
106 Calle Colon
Aguada, PR 00602
Phone (787) 252-5500
28 Calle Munoz Rivera W
Rincon, PR 00677
Phone (787) 823-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15863 | PR | Yes |
Addresses
Primary practice location
Mayaguez Medical Center
Carretera 2 Km157 Sabalos
Mayaguez, PR 00680-0068
Mailing address
22 Camino Mortero
Rincon, PR 00677-2649
Phone (939) 339-9487
Other providers in Mayaguez, PR
- Alberto Ivan Almodovar
- Angel Roberto Almodovar
- Juan Carlos Almodovar
- Hecmanuel Alonso Gil
- Hector M Alonso Sr.
- Maria Esther Altreche
- Adela Alvarado Cosme
- Keisy Marie Alvarez Acevedo
- Reinaldo E Alvarez Flores
- Urselio Alvarez-Pagan
All providers in Mayaguez, PR · Clinical 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 Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.