Priscilla Cancel Olmo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10687 Issued in PR

Practice address

Ave 199 Las Cumbres Carr. Antigua -845
Trujillo Alto, PR 00976

Phone

(787) 617-7889

NPI assigned

Dec 28, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1265145809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 71 BOX 7549",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369791",
            "telephone_number": "787-617-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 199 LAS CUMBRES CARR. ANTIGUA -845",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-617-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMO",
        "first_name": "PRISCILLA",
        "middle_name": "CANCEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4644987",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktops",
            "affiliation": "N",
            "endpointDescription": "Movile device or desktop computers to given information of a treatment worked.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Ave 199 Las Cumbres Carr. Antigua -845",
            "city": "Trujillo Alto",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teodulo Rafael Nieves, MD
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• Liliana Alexandra O'Neill Cubano, MS, OT/L
• Elsa Batista Ocasio, MD
• Optical Gallery
• Optik Group
• Lurmag Y Orta Gonzalez, MD
• Nancy Ivette Ortiz Davila, MD
• Zoe Ortiz Pedraza, MD

• Clinical Social Worker in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.