Individual provider Active NPI

Joan Jazmin Torres Rodriguez

  • Clinical Social Worker
  • Ponce, PR
National Provider Identifier
1184275638
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8826 Issued in PR
Practice address
Centro Comercial Los Caobos
Calle Caoba 775 Local 6
Ponce, PR 00716
Phone
(787) 988-0419
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 8826 PR Primary

Addresses

Primary practice location

Centro Comercial Los Caobos
Calle Caoba 775 Local 6
Ponce, PR 00716

Mailing address

Centro Comercial Los Caobos
Calle Caoba 775 Local 6
Ponce, PR 00716
Phone (787) 988-0419

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
I20200709001493 PR Practitioner - Clinical Social Worker 3779906763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8826PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mente Activa CurrentSince Jun 10, 2020 Accepting new patients

Locations

1123 Ave Hostos
Ste 6
Ponce, PR 00717
Phone (787) 988-0419

Organizations & group practices 1

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1184275638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL LOS CAOBOS",
            "address_2": "CALLE CAOBA 775 LOCAL 6",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-988-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL LOS CAOBOS",
            "address_2": "CALLE CAOBA 775 LOCAL 6",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-988-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES RODRIGUEZ",
        "first_name": "JOAN",
        "middle_name": "JAZMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.