Individual provider Active NPI

Juan Bautista Castro Perez, TRABAJADOR SOCIAL

  • Clinical Social Worker
  • Yauco, PR
National Provider Identifier
1245798610
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12955 Issued in PR
Practice address
Migrant Health Center Western Region Inc
Carretera 128 KM 4.1 Bo Almacigo Bajo
Yauco, PR 00698-0000
Phone
(787) 613-6918
Fax
(787) 834-1924
NPI assigned
Mar 5, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 12955 PR Primary

Addresses

Primary practice location

Migrant Health Center Western Region Inc
Carretera 128 KM 4.1 Bo Almacigo Bajo
Yauco, PR 00698-0000

Mailing address

3307 Calle Farayon
Urbanizacion Alturas de Mayaguez
Mayaguez, PR 00682
Phone (787) 613-6918

Other practice location 1

Carretera 324km 2.1
Bo Ensenada El Batey
Guanica, PR 00647-0000
Phone (787) 613-6918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823001623 PR Practitioner - Clinical Social Worker 7214265560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 8, 2019 Accepting new patients
Migrant Health Center Western Region,Inc CurrentSince Jul 8, 2019 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1245798610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 CALLE FARAYON",
            "address_2": "URBANIZACION ALTURAS DE MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-613-6918",
            "fax_number": "787-834-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIGRANT HEALTH CENTER WESTERN REGION INC",
            "address_2": "CARRETERA 128 KM 4.1 BO ALMACIGO BAJO",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006980000",
            "telephone_number": "787-613-6918",
            "fax_number": "787-834-1924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carretera 324km 2.1",
            "address_2": "Bo Ensenada El Batey",
            "address_purpose": "LOCATION",
            "city": "Guanica",
            "state": "PR",
            "postal_code": "006470000",
            "country_code": "US",
            "telephone_number": "787-613-6918",
            "fax_number": "787-834-1924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO PEREZ",
        "first_name": "JUAN",
        "middle_name": "BAUTISTA",
        "credential": "TRABAJADOR SOCIAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "12955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.