Lilliam I Guadalupe, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13824 Issued in PR

Practice address

69 Orquidea Street
Estancias de la Fuente
Toa Alta, PR 00953

Phone

(787) 565-6746

NPI assigned

Feb 20, 2019

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 2

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1275099731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ORQUIDEA ESTANCIAS DE LA FUENTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-565-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ORQUIDEA STREET",
            "address_2": "ESTANCIAS DE LA FUENTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-565-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADALUPE",
        "first_name": "LILLIAM",
        "middle_name": "I",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "13824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "13824",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4158051",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaritza Gonzalez
• Yarelis Goveo, THL
• Great Smiles LLC
• Grupo Medico del Toa
• Grupo Medico Policlinica la Familia
• Ivania Ivette Guilloty, MS
• Lisamar Rolon Guzman, MT
• Health Utility Managed Care LLC
• Hector Rasco Almeida PSC
• Carlo Antonio Hernandez-Roman, M.D.

• Clinical Social Worker in Toa Alta, PR
• Providers in Toa Alta, 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 Feb 20, 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.

Verify at the official NPI Registry.