Individual provider Active NPI

Joedlyn Flores, MSW

  • Clinical Social Worker
  • San Juan, PR
National Provider Identifier
1124726518
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
431 Ave Hostos
San Juan, PR 00918-3014
Phone
(787) 704-0705
Fax
(787) 744-7444
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 Primary

Addresses

Primary practice location

431 Ave Hostos
San Juan, PR 00918-3014

Mailing address

PO Box 309
Carolina, PR 00986-0309
Phone (787) 447-1549

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
I20230307003139 PR Practitioner - Clinical Social Worker 5890168173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Behavioral Care CorpGroup PAC ID 5294863262, 20 clinicians

Practice addresses (Care Compare)

Carolina Century Business Ctr
Carr 848 Esq 887 Local 23
Carolina, PR 00982-0000
Phone (787) 704-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Nov 26, 2022 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Nov 26, 2022 Accepting new patients

Locations

431 Ave Hostos
San Juan, PR 00918
Phone 7877539515226

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1124726518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860309",
            "telephone_number": "787-447-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 AVE HOSTOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183014",
            "telephone_number": "787-704-0705",
            "fax_number": "787-744-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JOEDLYN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.