Individual provider Active NPI

Danelly Olivo Figueroa

  • Clinical Social Worker
  • Fajardo, PR
National Provider Identifier
1235828336
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16219 Issued in PR
Practice address
V7 Calle San Marcos
Fajardo, PR 00738-5044
Phone
(787) 392-9770
Fax
(787) 763-2480
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 16219 PR Primary

Addresses

Primary practice location

V7 Calle San Marcos
Fajardo, PR 00738-5044

Mailing address

V7 Calle San Marcos
Fajardo, PR 00738-5044
Phone (787) 392-9770

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
16219PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1235828336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "V7 CALLE SAN MARCOS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007385044",
            "telephone_number": "787-392-9770",
            "fax_number": "787-763-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "V7 CALLE SAN MARCOS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007385044",
            "telephone_number": "787-392-9770",
            "fax_number": "787-763-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVO FIGUEROA",
        "first_name": "DANELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.