Maribella Bergollo, SOCIAL WORK 10402

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10402 Issued in PR

Practice address

5017 Ave Ramon Rios
Sabana Seca
Toa Baja, PR 00952

Phone

(787) 949-5559

NPI assigned

Jan 12, 2024

Last updated

Jan 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1225809767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 AVE RAMON RIOS",
            "address_2": "SABANA SECA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-949-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 AVE RAMON RIOS",
            "address_2": "SABANA SECA",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-949-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGOLLO",
        "first_name": "MARIBELLA",
        "credential": "SOCIAL WORK  10402",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "10402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nestor M Baez
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• Carlos Edwin Beltran, DMD
• Bene Sit Management LLC
• Andrea Enid Bermudez I
• Mayra Bermudez
• Sonja Berrios, MSW
• Katia Raquel Betancourt
• Bewell Psychological Services

• Social Worker in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.