Active NPI
Ixia Reyes Torres, M.S.W
- Social Worker
- San Juan, PR
National Provider Identifier
1235599648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9260
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9260 | PR | MD | Clinical 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.