Individual provider Active NPI

Ixia Reyes Torres, M.S.W

  • Social Worker
  • San Juan, PR
National Provider Identifier
1235599648
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
9260 Issued in PR
Practice address
1484 Ave FD Roosvelt
San Juan, PR 00920-2724
Phone
(787) 949-1066
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9260 PR Primary
Clinical Social Worker 1041C0700X 9260 PR

Addresses

Primary practice location

1484 Ave FD Roosvelt
San Juan, PR 00920-2724

Mailing address

Cond Borinquen Park # I
1484 Ave FD Roosvelt
San Juan, PR 00911-1148
Phone (787) 949-1066

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

LicenseStateTypeSpecialty
9260PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1235599648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND BORINQUEN PARK # I",
            "address_2": "1484 AVE FD ROOSVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111148",
            "telephone_number": "787-949-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 AVE FD ROOSVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202724",
            "telephone_number": "787-949-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES TORRES",
        "first_name": "IXIA",
        "credential": "M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "9260",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.