Active NPI
Nelly Rosa, MSW
- Clinical Social Worker
- San Sebastian, PR
National Provider Identifier
1205006293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14504
- Practice address
- HC 1 Box 11380
San Sebastian, PR 00685-9748 - Phone
- (787) 202-2873
- NPI assigned
- Mar 5, 2008
- 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 | 14504 | PR | Primary |
Addresses
Primary practice location
HC 1 Box 11380
San Sebastian, PR 00685-9748
Mailing address
HC 1 Box 11380
San Sebastian, PR 00685-9748
Phone (787) 202-2873
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 |
|---|---|---|---|
| 14504 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1205006293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 11380",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006859748",
"telephone_number": "787-202-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 1 BOX 11380",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006859748",
"telephone_number": "787-202-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "NELLY",
"name_prefix": "Prof.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "14504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.