Active NPI
Wilmary Madera
- Social Worker
- Ceiba, PR
National Provider Identifier
1255020558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 15477
- Practice address
- 14 Roosvelt GDNS
Ceiba, PR 00735-3400 - Phone
- (787) 934-7503
- NPI assigned
- May 2, 2023
- Last updated
- May 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 15477 | NU | Primary |
Addresses
Primary practice location
14 Roosvelt GDNS
Ceiba, PR 00735-3400
Mailing address
14 Roosvelt GDNS
Ceiba, PR 00735-3400
Phone (787) 934-7503
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1255020558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ROOSVELT GDNS",
"city": "CEIBA",
"state": "PR",
"postal_code": "007353400",
"telephone_number": "787-934-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 ROOSVELT GDNS",
"city": "CEIBA",
"state": "PR",
"postal_code": "007353400",
"telephone_number": "787-934-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADERA",
"first_name": "WILMARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": "15477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ceiba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.