Active NPI
Jorge E Sanchez Rivera
- Clinical Social Worker
- Ponce, PR
National Provider Identifier
1255991493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13767
- Practice address
- 2680 Calle Las Carrozas
Urb Perla del Sur
Ponce, PR 00717 - Phone
- (939) 254-5137
- NPI assigned
- Jun 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 13767 | PR | Primary |
Addresses
Primary practice location
2680 Calle Las Carrozas
Urb Perla del Sur
Ponce, PR 00717
Mailing address
2680 Calle Las Carrozas
Urb Perla del Sur
Ponce, PR 00717
Phone (939) 254-5137
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 |
|---|---|---|---|
| 13767 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1255991493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 CALLE LAS CARROZAS",
"address_2": "URB PERLA DEL SUR",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "939-254-5137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 CALLE LAS CARROZAS",
"address_2": "URB PERLA DEL SUR",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "939-254-5137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ RIVERA",
"first_name": "JORGE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "13767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.